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Full text of "The encyclopedia of pure materia medica; a record of the positive effects of drugs upon the healthy human organism"

'•*'•-;;(? '■■■ -' 



CORNELL UNIVERSITY 



THE 

3J|l0mer Veterinary ^library 

FOUNDED BY 

ROSWELL P. FLOWER 

for the use of the 

N. Y. STATE VETERINARY COLLEGE 

1897 



CORNELL UNIVERSITY LIBRAR' 




3 1924 073 484 697 




Cornell University 
Library 



The original of tiiis book is in 
tine Cornell University Library. 

There are no known copyright restrictions in 
the United States on the use of the text. 



http://www.archive.org/details/cu31924073484697 



THE 



ENCYCLOPEDIA 



Pure Materia Medica. 



A RECORD OF THE 



POSITIVE EFFECTS OF DRUGS UPON THE HEALTHY 

HUMAN ORGANISM. 



KDITED BY 



TIMOTHY F. ALLEN, A.M., M.D., 

PKOFESSOE OF MATERIA MEDICA AND THERAPEUTICS IN THE NEW YORK. HOM(EOPATHIC 

MEDICAL college; CORRESPONDINS MEMBER OF THE BRITISH 

HOMOEOPATHIC MEDICAL SOCIETY. 



■WITH CONTRIBUTIONS PROM 

DK. EICHAED HUGHES, OP England. 

DR. C. HEEING, OF Philadelphia. DE. CAEEOLL DUNHAM, of New York, 

DE. AD. LIPPE, of Philadelphia, and others. 



VOL. VIII. 



BOEKICKE & TAFEL: 

Ar_E W YORK: PHIL A DELPHI A ; ' 

145 GRAND STREET. 685 ARCH STREET. 

187 8. 

T 



Entered according to Act of Congress, in the year 1878, 

By BOERIOKE & TAPEL, 

In the Office of the Librarian of Congress, at Washington, D. C. 




SHERMAN & CO., 

PRINTERS AND STEREOTYPKRS, 

PHILADELPHIA. 



LIST OF REMEDIES IN VOLUME VIII. 



Plumbum, 

Plumbum Chromicum, 

Podophyllum, 

Polygonum, 

Polypoius Offieinalis, 

Polyporus Pinicola, 

Populus, 

Potlios, 

Prinos, 

PropyUiminum, 

Prunus Padus, 

Prunus Spinosa, . 

Psorinum, . 

Ptelea Trifoliata, 

Pulsatilla, . . 

Pulsatilla Nuttalliana, 

Pyrethrum, 

Quassia, 

Kanunuulus Acris, 

Eanunculus Bulbosus, . 

Kanunculus Glacialis, 

lianunculus Bepeiis, 

Eanunculus Sceleratus, 

Kaphanus, . 

Katanliia, . 

Eeinerz, 

liesina Itu, . . 

Khamnus Catharticus, . 

Ehamnus Prangula, 

Eheum, . 

Ehodium, 

Ehododendron, 

Khus Glabra, . . . 

Ehus Toxicodendron, 

Ehus Venenata, 



PAGE 




1 


Eicinus, 


1-29 


Robinia, 


130 


Eosmarinus, 


136 


Eumex Acetosa, . 


141 


Eumex Crispus, 


149 


Eussula, 


154 


Euta, 


154 


Sabadilla, 


155 


Sabina, . 


V 1^^ 


Saccharum Album, . 


" 156 


Salicinum,. . 


157 


Salicylicura Acidum, 


164 


Salix Purpurea, 


177 


Sambucus Canadensis 


205 


Sambucus, . 


242 


Sanguinaria, 


254 


Santoninum, 


254 


Saponinum, 


256 


Sarracenia, 


257 


Sarsaparilla, 


269 


Scanimonium, 


270 


Schinus, 


270 


Scolopendra, , 


277 


Scorpio, 


290 


Scropbulavia, 


299 


Scutellaria, 


300 


Secale Cornuturn, 


301 


Sedinha, 


802 


Selenium, 


308 


Senecio, 


808 


Senega, . 


311 


Senna, . 


329 


Sepia, . 


330 


Serpentaria, 


378 





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546 
549 
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575 
576 
582 
586 
599 
600 
6S9 



ENCYCLOPEDIA 



PURE MATERIA MEDICA, 



PLUMBUM. 



Plumbum metallicum, aceticum, carbonicum. 

Preparation, Triturations. 

Authorities. (Nos. 1 to 63, from Hartlaub and Trinks, Mat. Med., 1, p. 
8.) 1, Bethmann ; 2, Hartlaub; 3, Hering ; 4, Nenning ; 5, Trinks; 6, 
Act. Nat. Cur., Ann. Ill, Obs. XXX, effects in a worker in pewter ; 7, 
omitted ; 8, G. Baecker, Trans, of Coll. of Physicians, in London, and 
from Percival, effects of applying lead to a troublesome itching ; 9, Bernt, 
Rettungsmittel ; 10, Boerhaave, Elem. Chem., 2, 454 ; 11, J. Alex. v. 
Brarabilla, in Schmidt's Antigoulard, in part, effects of cosmetics in a girl; 
12, De Haen, Ration. Medendi Contin., iii, 1, p. 403; 13, Dioscorides, Mat. 
Med., lib. VI, c. 27; 14, Ettmiiller, Coll. Cons. Cas., 26; 15, Fothergill, 
in Abhandl. f. Pract. Jl^rzte, 3, 519 ; 16, Gabreely, in den Abhandl. d K. 
Jos. Med.-Chir., Acad., 1, 189, in a woman working in paints ; 17, Gar- 
dane, sur rElectricite Med. avec des Reeh. sur la Colique Metallique, Paris, 
1778; 18, Habenes, in Schmidt's Antigoulard, p. 145; 19, Hahnemann, in 
Henke's Zeit. f. die Staats., 7, 1, 151 ; 20, Haase; 21, Hecker, Arzneim.; 
22, Hirn, in Schmidt's Antigoulard, p. 94 ; 23, J. Fr. Henckel, Ueber die 
Bergsucht und Hiittenkatze, Freiberg, 1728 ; 24, Hermbstsedt, from Orfila; 
25, Fr. Hoffmann, in der Aum. zu Lotier Opper. Med. ac Chem., Franck- 
fort, 1698 ; 26, Hohnbaum ; 27, Huberthy, in Fischer's Antigoulard, p. 87; 
28, Jahn, Mat. Med., 2, 312; 29, Laurent, in Fischer's Antigoulard, from 
external application of lead water to a raw surface ; 30, Lindestolpe, de Ven- 
enis, effects ofsugaroflead, drank in wine; 31, Med. Ephem., Chemnitz, 1793, 
32, Moegling hei Zeller, Docimasia Signa Causse et Noxie Vini Lythargyro 
Mang., Tubniger, p. 24 ; 33, Jo. Nardius, Noct. Genial., Ann. 1, Bonon., 
1656, 4, No. IV, from internal use of white lead ; 34, Nicander, in Alexi. 
Pharm.; 35, Orfila, Toxicologic; 36, Plenk, Toxicologie, p. 2-53; 37, 
Plinius, Hist. Nat. Lib., 33 ; 38, Poterius, Cent. II ; 39, Ramazzini, Dia- 
tribe de Artificium Morbis, Batav., 1713, ix, p. 54 ; 40, Reinhartz, in 
Schmidt's Antigoulard, p. 228 ; 41, Rhodius, Cent. Ill, Obs. 10, internal 
use of sugar of lead ; 42, Richter, Therapie ; 43, Schmidt, Antigoulard, 
Wien, 1785, p. 231, mostly from the internal use of white lead, in oil and 
TOL. Tin. — 1 



2 PLUMBUM. 

brandy, for gonorrhoea, in a healthy man ; 44, Sennert, in Fischer's Anti- 
goulard, p. 61; 45, Stockhausen, Libell. de Lytharg. Fumo Noxio Mgr- 
bifico, etc., Goslar, 1556, 16, p. 10; 46, Stoll, Ratio Medendi, Th. VII, p. 
309; 47, Streitt, in Schmidt's Antigoulard, p. 186; 48, Fernelius, de Lue 
Venerea}, 7 ; 49, Thunberg, in den Schwed. Abhandl., 1773 ; 50, Tissot, 
Epist. Med. Pract., p. 222 ; 51, Tralles ; 52, Tronchin, Ueber die Kolik 
von Poitou in Kiihn's Samml., Leipzig, 1784, effects in a woman, of sugar 
of lead, in haemoptysis ; 53, Wall, in Percival on the poison of lead ; 54, 
Waderoliet, in den Samml. fur pr. ^rzte, VIII, p. 634 ; 55, Vering, in 
Fischer's Antigoulard, p. 108 ; 56, Volpi, in Fischer's Antigoulard, p. 77 ; 
57, Galen, de Med. Sec. Loc. Lib., 7, effects of drinking water from leaden 
vessels ; 58, Faber, Lanchymag., Lib. IV, p. 7, c. 32 ; 59, Vekos-krift for 
Lsekare, T. VI ; 60, Borelli, Obs. Cent., IV, Obs. 32 ; 61, Quesnoy, Traite 
de la Suppuration, Paris, 1779, effects of the external application of sugar 
of lead ; 62, W. Cullen, Lectures on Mat. Med., p. 192, effects of applying 
ext. Saturni in erysipelas ; 63, Redlich, Diss, de Colic Saturn., Lipsise, 
1800, 4; 64, Duncan, Med. and Philos. Comment., 1784, p. 202, effects in 
a man, from frequent bathing a scalded leg with Goulard's lead water ; 65, 
same, p. 314, effects in several, from drinking water from a leaden cistern ; 

66, Bartlett, Med. and Phys. Journ., 1804, p. 403, effects in a typesetter ; 

67, Horn, Horn's Archiv., 1807 (Frank's Mag., 2, 210), poisoning of a 
■worker ; 68, Meade, N. E. Med. Journ., 1813, p. 258, poisoning of a family 
of eight persons, by eating stewed apples that had stood for some time in 
an earthen crock, the glazing of which was broken ; 69. Kerkhoffs, Journal 
Univers., 1820 (Frank's Mag., 4, 677), poisoning by extract of lead, taken 
for gonorrhoea ; 70, Long, N. E. Med. Journ., 1823, p. 455, poisoning of 
a family of four, by eating sugar that contained white lead (it was used 
for five weeks) ; 71, same, special symptoms, in Mrs. L. ; 72, Baumer, 
Rust's Mag., 1824 (A. H. Z., 9, 79) ; 73, Archives Gen., 1825 (Lancet, 
1825), effects in a worker in carbonate of lead ; 74, same, in a brazier ; 
75, Pierson, N. E. Med. Journ., 1825, p. 27, effects in a painter ; 76, Bos- 
ton Med. Intell., 1827, Oct. 16, case of a painter ; 77, same ; 78, same, in 
a plumber ; 79, Jackson, Am. J. of Med. Sc, 1827, p. 300, case of worker 
in white lead ; 80, Hohnbaum, Henke's Zeit. f. Staats, etc., 1827, poison- 
ing of a family by food cooked in an imperfectly glazed vessel ; 81, Roots, 
Lancet, 1828-9, p. 636, case of worker in white lead ; 82, Milroy, Laucet 
1828-9, p. 234, a woman aged forty, swallowed three' teaspooufuls of sugar 
of lead (was suffering from urinary and menstrual disorders) ; 83, Helbig, 
Heraclides, 1, 51, effects of bathing the hands, forehead, and cheeks with 
Goulard's water ; 84, same, proving with y Q^d ^th grain of Acetate of lead ; 
85, Lancette Francaise, 1828, case of worker in lead ; 86, Hamilton, Lan- 
cet, 1829-30, p. 356, case of worker in lead ; 87, same, second case ; 88, 
Bright, Lancet, 1829-30, p. 356, case of painter ; 89, Pittschaft, in Hufe- 
land's Journ., 1830 (Heraclides, 1, 51) ; 90, All. Med. Cent. Zeit., 62, 
1830, effects of a solution of 1 ounce of sugar of lead ; 91, Barkhausen, 
Frank's Mag., 3, 613, effects of working in lead ; 92, same, second case ; 
93, Chancerel, Journ. de Med., 1831, a woman, aged seventy, took some 
oil containing 3 ounces of extract of lead ; 94, 95, 96, Duplay, Archiv. 
Gen. de Med., 1834 (Frank's Mag., 3, 304), cases of workers in'lead ; 97, 
Latham, Lancet, 1834, 2, 687, worker in lead ; 98, Lancet, 1834, 2, 795, 
painter; 99, Zeppenfeld, Caspar's Woch., 1835 (Frank's Mag., 1, 276), 
poisoning of a man by 2 ounces of the Acetate; 100, Thorapsou, Lancet, 
1835, 1, 92, a man took about 1 ounce of the Acetate; 101, Mansa, Hygea, 



PLUMBUM. 3 

3, 43, a woman, took 2 ounces of white lead; 102, Caspar's Woch., 1835 
(Frank's Mag., 1, 278), a pregnant wonman took 3 ounces of white lead ; 
103, Elliotson, Lancet, 1836, 1, 653, painter ; 104, Sander, Caspar's Woeli. 

1836 (A. H. Z., 9, 12), general effects, in a large number of cases ; 105, 
106, Dugas, Bost. Med. and Surg. Journ., 1837, p. 41 (Southern Med. 
Journ.), effects in printers; 107, Cross, Lancet, 1837, 1, 849, a woman, 
aged thirty-three, took 6 to 8 drachms of Carbonate of lead ; 108, Bost. 
M. and S. Journ., 1837, p. 239, a man, poisoned by peas, that had stood in 
an earthen jar with imperfect glazing ; 109, Brockmann, Hanover Aunals, 

1837 (Frank's Mag., 1, 268), diseases of workers in lead ; 110, Bressler, 
Casp. Woch., 1837 (Frank's Mag., 1, 277), poisoning of a girl, by lead 
ointment applied to burns; 111, Annali Univers. (Lond. Med. Gaz., 1837, 
1, 948), effects of swallowing about 6 ounces of shot on two successive 
days; 112, Hornung, Frank's Mag., 1, 800 (Aust. J., 1837), effects of 4 
ounces of the acetate; 113, Seymour, Lancet, 1838-9, 30, .effects in a 
painter ; 114, Montault, Journ. de Med. et Chir., 1838, working in an at- 
mosphere of lead ; 115, Tauflieb, Gaz. Med. de Paris, 1838, application of 
lead plaster to an ulcer on the leg ; 116, Bayrenson, Journ. de Chim. Med., 
1839, effects of a solution of the Acetate (117 to 226, from Tanquerel des 
Planches, des Mai. de Plomb., Paris, 1839) ; 117, " primary effects of vari- 
ous preparations;" 118, a workman drank wine containing litharge; 119 to 
124, workers in lead ; 125, effects of daily doses of the Acetate, 3 to 24 
grains, for two weeks, for cardiac hypertrophy; 125 a, same, repeated; 
126, 127, workers in lead ; 128, effects of injecting into the vagina Gou- 
lard's solution for uterine haemorrhage at the menopause ; 129, effects of 
taking the acetate for several days, in a man ; 130 to 171, effects of work- 
ing in lead ; 172, effects of eating bread baked in an oven heated by wood 
covered with white lead, Tanquerel, 1. c. 2, 267 ; 173 to 201, effects on 
workers in lead ; 202, effects in a young man, from taking the Acetate for 
seminal emissions ; 203 to 226, effects on workers in lead ; 227, Akierson, 
Med.-Chir. Rev., 1840, 32, p. 11, a woman, aged twenty-five, worker iu a 
lead factory ; 228, same, in a man, from drinking water from a leaden 
cistern; 229, Villeneuve, Journ. des Conn. Med., 1841, a girl took 1 ounce 
of the Acetate in solution; 230, Budd, Lond. Med. Gaz., 1841, 1, 411, a 
painter; 231, omitted; 232, Williams, Lond. Med. Gaz., 1841, 1, 478, in 
a painter ; 233, Schilbach, Fror. Notizen (Lond. and Ed. Med. J., 1841, 
1, 220), poisoning of six persons by eating flour that contained lead ; 234, 
same, one individual ; 235, Buchner, Qilst. Med. Woch., 1841 (Hygea, 15, 
430), worker in lead ;t 236, Johnson, Prov. Med. and Surg. Journ., 1841, 
effects in a plumber ; 237, Beer, GEst. Woch., 1841 (Frank's Mag., 1, 779), 
working in lead ; 238, Wilson, Med.-Chir. Rev., 1842, p. 40, worker in 
lead ; 239, Ann. d'Hyg. Publique, 1842, six persons poisoned by cider, 
that had stood in a leaden vessel ; 240, Bryce, Lancet, 1842, 1, 498, a man 
swallowed 3 ounces of shot, in three days, for a boil; 241 and 242, Ship- 
man, Am. J. Med. Sc, 1843, p. 89, several persons were poisoned by cider 
from a tub newly painted ; 243, Otto, Zeit. f. die Ges. Med., 1843, poisoned 
by snuff containing red lead ; 244, same, in a young physician ; 245, 
Knapp, Rust's Mag., 1843, lead poisoning ; 246, Snow, Lancet, 1844, 2, 
144, a child ate white lead, a piece as large as a marble, death on fourth 

f The autopsy showed that the kidneys were less than half their natural size, 
granulated, dirty white, with numerous blackish-blue pigraent-like deposits, and 
with cysts containing brownish serum. 



4 PLUMBUM. 

day; 247, Schroeder, Med. Zeit. f. Preuss., 1844, in a painter; 248; Schu- 
bert, Gasp. Woch., 1844, a man poisoned by 5 or 6 drachms of lead ; 249, 
Otto, Frank's Mag., 3, 887, a girl took 3 drachms of the Acetate (250 to 

259, from Morea, I'Enipoisonnement aigu par ]e Plomb. et ses Composes, 
Paris, 1875); 250, Keynaud and Porral, poisoning by the Acetate; 251 
and 252, workers in lead ; 253, poisoning by the Extractum Batumi, from 
Rabateau, Toxicologic ; 254, Boudant, poisoning by 1 ounce of the Acetate; 
255, Pearle, Lond. Med. Gaz., 1845, effects on a man and children of 
drinking water through leaden pipes ; 256, Journ. de Pharm., 1845, eifeets 
of 300 grainsof Carbonate of lead, in a man, suffering from heartburn ; 257, 
Melion, Prag. Vjs., 1845 (Frank's Mag., 3, 612), a girl took 1 ounce of the 
Acetate ; 258, Rumpelt, Diss., Dresden, 1845 (OEst. Zeit. f. Horn., 3, 205), 
general effects; 259, Evans, Lon. Med. Gaz., 1846, 1, p. 997, worker in lead ; 

260, Goeringe, Prov. Med. and Sur. Journ., 1846, 1 ounce of the Acetate, in 
a girl ; 261, same, in another girl, same quantity ; 262, Chowne, Lancet, 
1847, 1, p. 173, from sleeping in a newly-painted room ; 263, Schoneraann, 
Journ. deKinderkrankheiten, 1849, poisoning of children by water contain- 
ing lead ; 264, same ; 265, same ; 266, De Mussey, Dublin Med. Journ., 1849, 
p. 405, effects of water from leaden pipes, in thirteen persons; 267, Banks, 
Lancet, 1849, 1, 478, poisoning of about five hundred persons by thirty 
pounds of lead mixed with eighty sacks of flour ; 268, Leboucher, poison- 
ing of a girl by the Acetate, Journ. d. 1. s. Gal., 2, 597; 269, Curie, Clin. 
Lectures, N. W. J. of Hom., 1850, p. 23, worker in lead; 270, Pluskal, 
same, poisoning by lead from a charge of shot in the leg (no local trouble) ; 
271, Murphy, Br. and F. Med.-Chir. Rev., 1852, 2, 258, effects of chewing 
lead; 272, Orfila, Toxicologic, working in lead; 273; same; 274, Thouvenet, 
from Orfila, effects of about ^ ounce of the acetate, in a woman; 275, Rob- 
ertson, Lancet, 1851, 1, 202, about twenty girls poisoned by water from a 
leaden cistern; 276 and 277, same, individual cases; 278, Capello, Bull. 
Gen. de Therap., 1851, a man was accustomed to chew leadfoil ; 279, Chal- 
liss, Trans. Am. Med. Ass., 1852, p. 197, effects of water from leaden pipes; 
280, same ; 281, Garrison, same reference, effects of water through leaden 
pipes; 282, same, on himself; 283, Adams, ibid., same cause; 284, Howe, 
ibid., same cause; 285 to 289, same; 290, Crosby, ibid., same cause; 291 
to 295, same; 296, Birdwell, ibid., same cause; 297 and 298, same; 299, 
Dalton, same; 300 and 301, same; 302, Stimson, same; 303 and 304, 
same; 305, Dr. Francis Black, general effects, Appendix to Br. J. of Horn., 
1 ; 306 to 314, various authorities cited by Black, 1. c, lead poisoning; 
315, Anderson, Am. J. Med. Sc, 1853, worker in lead ; 316, same ; 317, 
same, effects of water drawn through leaden pipes; 318, same; 319, Eich- 
mann, Gaz. des Hop., 1854, poisoning of two children by sucking enamelled 
cards ; 320, Spengler, Med. Cent. Zeit., 1854, effects of a solution of ^ ounce 
of the Acetate, in a man ; 321, Addison, Med. Times and Gaz., 1856, p. 
643, worker in lead ; 322, Cabot, Bost. M. and S. J., 1856, p. 21, vol. liv, 
effects of water from lead-lined tanks; 323, Buck, Bost. M. and 8. J., 55, 
428, effects of water from leaden pipes; 324, Hyde Salter, Lancet, 1857, 
1, 649, effects in a compositor; 325, Boufils, L'tjnion Med., Feb. 1857, a 
boy poisoned by cider containing lead; 326, MuUer, Zeit. f. V. Oest., 1857, 
1, 49, thirteen persons poisoned by water from lead pipes ; 327, Sieveking, 
Med. Times and Gaz., 1857, 1, 163, effects in a plumber; 328, Jachimo- 
wicz, Zeit. f V. Oest., 1857, 2, 418, woman, worker in lead ; 329, Leudet, 
ibid., workers in lead ; 330, Leared, Med. Times and Gaz., 1858, 1, 295, 
effects of 1 ounce of the Acetate; 331, Kingsbury, N. Y. J. of Med., 1859, 



PLUMBUM. 5 

water from leaden pipes; 332, O'Conaor, Dubl. Med. J., 1859, case of a 
plumber; 333, same; 334, Mattel, Gaz. des Hop., 18G0, No. 62, poisoning 
of a married woman ; 335, Addis, Lancet, 1860, 1, 33, | pint of Goulard's 
Ext., in a girl, aged twenty-one; 336, Chambers, ibid., worker in lead; 
337, Rees, ibid., from water containing lead ; 338, Johnson, ibid., effects of 
scouring pewter pots; 339, Schotter, Virchow's Archiv., 1859, effects of fre- 
quent application of a leaden plate to the hair (covering the head with a 
sheet of lead at night, so that only a small portion of the face was uncov- 
ered) ; 340, Moore, Br. and F. Med.-Chir. Rev., 1861, 2, 382, painter; 341, 
Falconer, Br. Med. J., 1861, 464, plumber; 342, Fouquet, Wien. Med. 
Woch., No. 11, 1861, 1 ounce of Acetate, in a man for spasmodic dysuria; 
343, Boreland, Bost. M. and S. J., 1862, 66, 453, by water from a "leaden 
tank; 344 to 348, Ollivier, Archiv. Gen. de Med., 1863, workers in lead ; 
349, Reynolds, Lancet, 1863, 2, 507, a man, with phthisis, took 4 grains of 
Acetate daily for twenty -seven days; 350, Gonzales, El Criterio Med., Jan. 
1864 (Am. Horn. Rev., 4, 551), from pickles kept in a glazed jar; 351, 
"Ward-Cousins, Med. Times and Gaz., 1864, 2, 279, from use of lead cos- 
metics; 352, ibid., p. 569, worker in lead; 353, Wilkshire, Lancet, 1864, 
2, 67, painter; 354, Memorabilien, 1864, p. 245, worker; 355, ibid., from 
holding type in his mouth; 356, Fleming, Br. Med. J., 1865, painter; 357 
to 361, workers in lead, ibid. ; 362, Garrod, Lancet, 1866, 1, 345, plumber ; 
363, Marmisse, Gaz. des Hop., 1866, No. 25, exposed to fumes of lead; 364, 
same, poisoning; 365, Bovvditch, Bost. M. and S. J., 1867, 76, 37, a boy, 
aged eight, effects of drinking water through leaden pipes ; 366, Wilks, 
Lancet, 1867, 1, 9, from water through leaden pipes; 367, Clapton, Mid. 
Times and Gaz., 1868, 2, 611, worker in lead; 368, same; 369, same; 370, 
effects of inhaling steam from leaden pipes ; 371, worker ; 372, painter ; 
373, same; 374, Murchison, Lancet, 1868, 2, 215, painter; 375, same; 376, 
same, cleaning pewter vessels; 377, same, painter; 378 to 383, Hitzig, 
Studien ueber Blei-vergift, Berlin, 1868, effects in workers in lead ; 384, 
Gubler, Med. Times and Gaz., 1869, 2, 7, in a plumber; 385, same, in a 
painter; 386, Woodman, Med. Times and Gaz., 1869, 1, 222, in a worker; 
387, same; 388, same, in a painter; 389, same; 390, same, from cider 
containing lead; 391 to 401, Lafont, sur le Tremblement Saturn., Paris, 
1869, effects on workers in lead ; 402, Delaine, I'Hahnemannisme, 1869, 
poisoning, in a girl ; 403, same, worker in lead ; 404, Dalton, Bost. M. 
and S. J., 44, 356, in a child, from water drawn through leaden pipes ; 
405, Duroziez, Gaz. des Hop., 1869, No. 143, painter; 406 to 417, same, 
workers in lead; 418, Garrod, Lancet, 1870, 2, 781, worker in lead;, 419, 
Johnson, Br. Med. J., 1870, 2, 325, worker (glazed cloth) ; 420 and 421, 
Bial, Die Chron. Blei-vergiftung Diss., Berlin, 1870, workers in lead ; 422, 
Taylor, Lancet, 1870, 1, 428, several cases of poisoning by beer containing 
red lead ; 423, Baker, Trans. Obstet. Soc. of London (Br. J. of Horn., 29, 
709), a woman, in the habit of washing the clothes of her husband who 
worked in lead; 424, same, painter's wife; 425, Paul, Archives Gen. de 
Med. (B. J. of Horn., 1871, 707), a woman worked cleaning type; 426, 
same, histories of eighty-one cases; 427, Hoyne, U. S. Med. and Surg. J., 
1871, p. 171, lead poisoning; 428, same; 429, Lancereaux, Gaz. de Paris, 
1871 (S. J., 154, 146), general effects ; 430, Nankivell, Horn. World, 6, 80, 
from bathing a wound with Goulard's lotion for several days; 431, Schnel- 
ler, S. J., 153, 318 ; 432 and 433, Kersch, Memorabilien, 1872, p. 289, two 
children, poisoned by holding pieces of lead in the mouth ; 434, Riemer, 
Corr, BL f. Schw., 1872, p. 17, chronic poisoning; 435, Hollis, Br. Med. 



6 PLUMBUM. 

J., 1872, 1, 154, worker in lead; 436, same; 437, Townsend, Phil. Med. 
and Surg. Rep., 1873, p. 33, worker; 438, Lewis, Med. Times and Gaz., 
1873, 1, 84, workers ; 439, Leidersdorf, All. AVien. Med. Zeit., 1873, painter ; 
440, same; 441 and 442, Wurt. Corr. Bl., 1873, workers in lead; 443, 
Smith, N. Y. Med. J., 1873, from water drawn through leaden pipes; 444, 
Bottentint, TUnion, 1873, worker; 445, Browne, Lancet, 1873, 2, 146, 
painter; 446, same; 447, Samuelsohn, Monatsbl. f. Augenheilk., 1873, worker 
in lead ; 448, Brown, Hahn. Month., 9, 88, fiom cosmetics containing lead ; 
449 to 451, GafTky, Ueber d. ursachlichen zusaraunhang zwischen chron. 
Blei-intox. und Nieren-affect. Diss., Berlin, 1873, workers in lead; 452, 
Eoque, in Mouvement Med. (M. H. Rev., 17, 119), observations on a series 
of selected cases ; '453 to 455, Elgnowski, zur casuistik d. Blei-lahmungen 
Diss., Berlin, 1873, workers in lead ; 456, Bouchardt, M. Hom. Rev., 17, 
504, observations ; 457 to 463, von Tunzelmann, Br. J. of Horn., 32, 17, 
cases of poisoning by well water containing lead ; 464, Malassez, Gaz. Med. 
de Paris, 1874, observations in a large number of cases ; 465 to 489, Ma- 
nouvriez, Recherches clin. sur I'intox. Sat., Paris, 1874, effects in workers 
in lead ; 490, Earle, Am. J. Med. Sc, 1874, p. 279, a family poisoned by 
water containing lead ; 491, Shearmann, Practitioner, 1874, from drinking 
rain water from a leaden roof and leaden cistern; 492, same; 493, Danjoy, 
N. Y. J. of Hom. (from the French), 2, 210, workers in lead; 494, Lancer- 
eaux, ibid., workers; 495, Ollivier, ibid.; 496 to 498, De Cours, De I'Hemi- 
anesthesie Saturnine, These, Paris, 1875, workers in lead ; 499, Waldo, Am. 
J. Hom. Mat. Med., 9, 48, in a painter; 500, Halma Grand, These, Paris, 
1875, workers ; 501 to 505, Renant, De I'intox. Saturnine, Paris, 1875, in 
workers; 506, same, in mothers; 507, same, in fathers ; 508 to 530, same, in 
workers in lead ; 531, Bucquoy, Gaz. des Hop., 1875, No. 90, worker; 532, 
Johnson, Med. Times and Gaz., 1875, 2, 233, cosmetic containing lead ; 
533, Moreau, Empoisson. aigu par le Plorab., 1875, Paris, suicide of a 
woman by the Extract. Saturni ; 534, Dowse, Lancet, 1875, 1, 545, painter ; 
535, Norris, Lond. Med. Rec, 1875, >p. 277, from using a cosmetic contain- 
ing lead ; 536, same ; 537, Popp, Bay. intell. Bl. (Am. Horn. Obs., 12, 47), 
in a worker ; 538, Berridge, Med. Invest., N. S., 1, 101, in a painter ; 539, 
same, a child swallowed some white lead ; 540 to 543, Remak, zur Patho- 
genese der Blei-lahmungen Diss., Berlin, 1875, workers in lead; 544, same, 
in a girl, from use of cosmetics for five months ; 545, same, another case ; 
546, Knott, Lancet, 1876, 2, 531, from beer that had remained over night 
in a leaden pipe, taken every morning for three years; 547, Pepper, Phila. 
Med. Times, 1877, 148, a packer of litharge; 548, Franziska Teburtius, 
Liaug. Diss., Zurich, 1876, a painter; 549, Turubull, Edin. Med. J., April, 
1877, a boy swallowed a bullet ; 550, Hardenhewer, Berlin Klin. Woch., 
1877, lead poisoning treated by Jaborandi ; 551, Frank, Deutsch Archiv. 
f Kl. Med., 16, 3 ; 552 to 555, Da Costa, Med. and S. Rep., 1867, in workers; 

556, Milner, N. O. Med. and S. J., 1873, eflTects of water from leaden pipes; 

557, Tompkins, Virginia Med. Rec, 1874, p. 14, a girl, aged twenty-five, 
took 1 drachm of Acetate of lead three times first day, and once second day, 
recovery ; 558, Corson, Canada Lancet, 1874, p. 141, effects of water from 
leaden pipes; 559, Williams, ibid., p. 69, in a painter; 560 and 561, Fearn- 
side, Liverpool Med.-Chir. J., 1848, efl^ects of drinking water from a leaden 
cistern ; 562, Orr, Rankiug's Abstract, 32, 195, a worker in lead ; 563, Jones, 
Lancet, 1867, 1, 4, painter; 564, Gubler, Med. Times and Gaz., 1869, 1, 
531, general effects; 565, Neftel, Centralbl. f. Med. Wiss., 1868, effects in 
three women ; 566, Maschka, AYien. Med. Woch., 1871, poisoned by the 



PLUMBUM. 7 

Acetate; 567, Ramskill, Br. Med. J., 1875, 1, 559, twenty-five workers in 
lead; 568, Johnson, Med. Times and Gaz., 1875, 2, 233, from cosmetics, in 
a woman ; 569 to 571, Dowse, Med. Times and Gaz., 1876, 1, 357, tliree 
female workers in lead ; 572 to 574, Pauvert, De la Colique de Piomb., 
Th^se, Paris, 1877, workers in lead ; 575, Reich, S. J., 176, 11, poisoning 
of a child by leather containing lead ; 576, Ledetsch, Wien. Med. Presse, 
1877, from preserves kept in a badly-glazed jar ; 577, Raymond, Gaz. de 
Paris, 1876; 578 and 579, Brochin, Gaz. des Hop., 1875; 580, Lepine, 
Gaz. de Paris, 1875, worker; 581, Boucheret, Hurbain and Leger, Archiv. 
de Phys., 1877, p. 424, worker in lead ; 582 and 583, Johnson, Chicago 
Med. J. and Exam., 1877, two girls used a cosmetic which contained lead ; 
584 and 585, Richardson, Boston Med. and Surg. J., 1877, p. 379, workers 
in lead. 

lUiilcl, — Delirium,^^^"^, etc. — Most violent delirium, with screaming 
and running about the room, succeeded the epileptiform spasm,'*. — De- 
lirium, resembling the most frightful kind of madness, and impelling them 
to tear themselves and bite their own fingers,"'. — Furious delirium, resem- 
bling delirium tremens,*". — Raging, alternating with quiet, delirium; the 
former came in paroxysms ; no fever,"". — Delirium, with violent raging, so 
that he had to be put into a strait-jacket, with hallucinations of vision,***. — 
Raging delirium,*^ — Furious delirium,™'. — Violent delirium, at night,'". — 
[10.] Violent delirium set in and continued for some days. As the de- 
lirium declined, the mind did not recover its clearness and integrity, on the 
contrary, his sensations and perceptions were vitiated and erroneous. Va- 
rious morbid ideas took possession of him, and some of them remained, and 
continued to manifest themselves for many months after his apparent res- 
toration to health,*". — The delirium tranquil during the day, furious at 
night,'"". — Complete rage,^'. — Delirium, with bewildered expression,'^ — 
Delirium, with very violent convulsions,"". — During the third day of delir- 
ium, he was awake, sometimes quiet, sometimes violent, but almost totally 
irrational. Pulse, 80; skin rather hot,'"'. — Delirium, for three days (in a 
previous attack),''^^ — Delirium, with trembling of the tongue and hands,"™- 
— At times delirious,"". — Nightly delirium, alternating with sopor,^'\ — 
[20.] He was at times delirious, very restless, and manifested great con- 
cern for his affairs,"". — Delirium, alternating with sopor,'''". — Tranquil 
delirium,'"". — Appeared to be rapidly recovering, when he was suddenly 
seized, about 11 A.m., with furious delirium, attended at intervals, -by 
general spasms. It was astonishing to see him, who, three hours before, 
could only pronounce with difficulty a limited number of words, whose 
voice was weak, and whose utterance was faint and drawling, now talking 
incessant])', and pouring forth shouts, screams, and abuse against all who 
approached him. His voice was loud and clear. His delirium turned 
chiefly upon the idea that his life was in danger from assassitiaiion or poi- 
soning, and that every one about him was a murderer. His muscular strength 
was increased to such a degree, that, with one hand, he could lift all his 
mattresses at once with the greatest ease. He left his bed, and walked 
about briskly, knocking against every obstacle at random. His face was 
flushed ; his eyes sparkling and fierce. At last a strait- waistcoat was 
put on him, which heightened his fury. Pulse, 65 ; heat of body rather 
increased. The delirium lasted about half an hour, when it was succeeded 
by coma, during which he lay stretched out and motionless, with closed 
eyes and somewhat pale face. Strong stimulation could only draw forth a 
few unmeaning grunts. An hour later, the delirium suddenly returned, to 



8 PLUMBUM. 

be followed agaiu by coma, and thus, all that day and night, the opposing 
conditions alternated,^"". — Sudden attack of delirium, in the evening, ac- 
companied by extreme restlessness; he railed, threatened, and th'en fell into a 
deep sleep. This alternation of delirium and somnolency continued until 
morning ; next day, face flushed and covered with sweat. Eyes fixed and 
expressionless ; bloodshot ; lids swollen ; pupils, especially the right one, 
extremely dilated, but moderately sensitive to light. Expression of face 
decidedly dull. Frequent movements, more or less forcible, of the head, 
limbs, and whole body ; so that he had to be put into a strait-waistcoat,'*'. 
— Did not close his eyes for a minute all night ; sometimes was silent and 
quiet, sometimes hurried out of bed, wanted to dress himself, and went 
about looking for his clothes ; talked incoherently ; abused the nurses and 
patients. In the morning, to prevent him from disturbing the ward, he 
was put into a strait-waistcoat. He resisted violently ; struggled, called 
for help, screamed, bawled, and even bit an assistant who had hold of him. 
After this, he became quiet and silent, and his limbs ceased trembling. 
When I entered the room, he called to me, and begged to be released. He 
had an astonished look ; something unusual seemed to have altered his 
expression of face,™. — IDuring the paroxysms of colic, he tosses and rolls 
about in bed, weeps and laments; his pinched-up face denotes the sharpest 
pain ; he is so distracted by the agony he endures, that he can pay no at- 
tention to what passes around him, nor when asked a question,"'. — During 
the paroxysms, the face expresses acute pain ; he is restless, rolling about 
in bed, screams out, etc.,"'^ — During the paroxysms, he lay jflat on his 
belly, dug his fingers into his navel, tied himself tightly in his cravat, 
uttered dismal screams, declared that he had to go to stool ; sometimes got 
up and walked the room hurriedly, his hands pressed to his abdomen ; we 
have seen the poor fellow leaning on his belly against the iron railing of 
his bed,"". — During the paroxysms, a condition approaching to frenzy ; 
constant restlessness ; lying on abdomen ; he knelt down and crouched to- 
gether in his bed, etc.,^'\ — [30.] During the paroxysms, which occurred 
almost every ten minutes, the patient, suffering the greatest anxiety, his 
face all distorted, rolled about in bed uttering dismal groans ; he laid his 
pillow over his abdomen and begged the bystanders to press upon it with 
all their force ; this afforded temporary relief. He bit the sheets, his limbs 
■writhed; at times he might have been taken for a furious madman,^'®. — 
During the paroxysms, screaming, tossing about, and assuming the strangest 
attitudes,"^ — During the paroxysms, the face is contracted ; he screams 
aloud, sticks his legs suddenly out of bed, etc.,"'. — Between the paroxysms, 
mind often much affected. Would leave home without knowing where he 
was going ; became enraged with persons he met ; and generally remem- 
bered nothing of what had occurred. When brought home, he would shut 
himself up until he got right again. One day, he left home to enter the 
Hospital Beaujon ; got lost, and was quite surprised to find himself at La 
Pitil,™. — Although naturally patient of sufiering, he was importunate, 
nay clamorous for relief, expressing himself in terms of agony, far stronger 
than his general appearance and .symptoms seemed to warrant,^'*. — When 
admitted he refused to go to bed, tore his shirt off", and spoke disconnect- 
edly,'"". — With loud cries, he insists upon going to stool, '^l — Bites his gar- 
ments and bedclothes,™'. — Begged and prayed to be released from the 
strait-waistcoat, " for," he said, " I am not mad ; but the idea of being 
forcibly restrained is enough to drive me crazy," "I — At times, the pains 
became so violent that he weeps and laments ; and his whole frame is agi- 



PLUMBUM. 9 

tated,"'.— [40.] Difficulty in putting him to bed ; he tore off the clothes, 
and spoke incoherently,"". — Started out of bed as if beside himself, com- 
pressing his "abdomen with his hands,'™. — Hung on to the bedpost, and 
kept swaying himself with a convulsive movement,'^". — He keeps thrusting 
his limbs out of bed, and then covering them up again,"". — Frightful 
screams, with general convulsions,'". — Screaming out, at intervals,™'. — 
Uttered piercing cries,™. — Screaming,^'\ — Screaming incessantly,^". — Ut- 
ters doleful groans, and screams loudly for relief,™. — [50.] During the 
aggravations, he screams, draws himself together under the bedclothes, 
suddenly gets out of bed, then gets in again, and doubles himself up, etc.,™. 
— During the intervals of quietude, which were very brief, he kept up a 
sort of continual grumbling, closed his eyes, and shrunk down under the 
bedclothes,"l — In the night, began to talk to himself quite incoherently, 
about all sorts of things; then left his bed, and wanted to lie down in 
another bed in the room. The nurse easily got him back to his own quar- 
ters ; his gait was firm, and he had no tremor; his eyes were wide open, 
somewhat projecting and fixed. His face had an expression of astonish- 
ment. During the rest of the night, he talked much to himself; his de- 
lirium was mild and quiet. Next day, his expression was natural, and he 
had the use of all his faculties, but he seemed to take little interest in con- 
versation, and his manner was remarkably listless. About 5 p.m., he began 
fairly to rave ; would keep chattering for several minutes, and then be 
silent for awhile. His face had a wild expression, which struck the house 
surgeon on duty. Pulse, 85 ; no fever. Worse at night ; took part in all 
the conversation he heard, or fancied he heard,"'. — On the fifth day of the 
delirium, in the afternoon, he had a sudden attack of epilepsy, character- 
ized by violent convulsive movements of the whole body, bloody froth at 
the mouth, biting the tongue, interrupted breathing, etc. After an attack, 
which lasts about half an hour, he becomes slightly comatose, but soon 
rouses, and enters again into delirium. On the sixth day of the delirium, 
the general aspect of the countenance was more unnatural than before. 
There was less of that harmony of expression which is indicative of a well- 
balanced mind. Sometimes the eyes were fixed and the features concen- 
trated ; sometimes the former seemed to roll about, under the influence of 
serious thought, and the whole face to partake of this meditative look. He 
would still sometimes burst into laughter at the most unexpected moments. 
The limbs trembled, or rather, were shaken by slight spasms, which also 
ran over the face in different directions, coming and going at irregular in- 
tervals. The tongue was considerably swollen, from having been bitten 
during the epileptic seizures of the preceding day ; utterance also was im- 
peded, being stammering, hurried, and abrupt ; an effect to which the 
slight spasms above spoken of also contributed. He was sometimes con- 
scious of his condition, and said that he was insane. His talk became 
irrational more frequently, and continued so longer than on the day before. 
Yet even now, his intellectual aberration could only be discovered by very 
attentive observation. On the seventh day of the delirium, he talked 
much to himself, and tried to get into the neighboring beds ; he wandered 
more in his speech; wanted to strike the nurse, without provocation; when 
threatened with the strait-waistcoat, he quieted down somewhat. He 
often talked to himself at night ; what he said was incongruous, discon- 
nected, and about all sorts of things. He got up three or four times, and 
tried to fold his bedstead together, under the impression that he was work- 
ing some sort of machine ; then he laid down again. Twice he rose from 



10 PLUMBUM. 

bed, walked about with bare feet, and urinated in the middle of the floor; 
next minute, he fancied one of the patients called to him, ran headlong to 
help him, and got into another bed at the opposite side of the room. _His 
sight was unimpaired, his gait firm and confident. At times, he was silent 
and quiet, although he never closed his eyes. On the eighth day of de- 
lirium, he was quiet, but, in conversation, more decidedly irrational than on 
the day before. He spoke to others with a smiling face ; he was silent and 
looked very thoughtful. Now and then, he perceived that he had used a 
wrong word, as was shown by his impatient gestures, and he tried to recall 
the proper one ; he talked to himself about all sorts of things. If he was 
spoken to so as to attract his attention strongly, and the questions were 
simple, and easily answered, his replies were rational. He talked no more 
sensibly about one thing than another. Even to-day, although not so ap- 
parent as yesterday, there was always, amid his delirious ravings, a certain 
semblance of good sense. The utterance is, as it were, spasmodic ; more 
abrupt and jerky than on the day before ; words are pronounced rapidly 
and incompletely,™. — Out of his head, at times; at night, quite delirious, 
talked almost constantly ; got out of bed ; looked for his clothes, in order 
to dress himself; ran all about the room, trying to get into the other pa- 
tients' beds ; at last, after he had gone on in this way a good while, it was 
found necessary to put him in a strait-waistcoat, to which he submitted 
quietly. Next day, his eyes were wide open ; his expression was rather 
wild. When alone, he talked much to himself, sometimes calmly, some- 
times violently ; generally about wine, which he would not take part in 
smuggling into the hospital. Sometimes he fancied himself at his foundry, 
at home, or in the street, etc. His conversation was a mixture of sense 
and extravagance. When his attention was strongly attracted to anything, 
what he said was at first rational, then he would suddenly drop the subject, 
and begin to talk about something quite different, mixing together in this 
way a great many ideas and incoherent Words. But, on peremptorily re- 
calling his thoughts to the topic gambolled from, he would again answer 
pertinently and sensibly for awhile,^®'. — After trying in vain to find his 
clothes, he got up and walked the room, but with hesitating step, and feel- 
ing about with his hands, like one groping in the dark ; runs against the 
stove, the beds, etc. ; sometimes uttered incoherent words, or called for his 
wife, or his friends; wanted to talk about his business; often said " My wife! 
my wife!" more frequently was silent. At last he became quiet, soon got 
into bed again, and seemed to fall into a deep sleep. After awhile, would 
rouse up and begin to act in the same way again. Once he was about to 
urinate upon the stand which held the patient's diet-drink. Sometimes he 
spoke rationally, but generally poured forth unintelligible words in a 
trembling and hurried voice. He talked to those about him, and made 
the most incongruous demands upon them. He was not violent, and 
threatened nobody. Now and then he put his hands to his forehead or 
abdomen, his face contracted, he groaned, and exclaimed "My God! my 
God I" then began to cry like a child. Sometimes he was observed to lie 
down on his abdomen. Constant sleeplessness. Delirium and restlessness, 
worse at night. Recognized those about him, and maintained a long con- 
versation tolerably well ; but, when a drunken patient happened to say to 
him, in an offensive tone, "They will put you in a strait-waistcoat, you 
old lunatic!" he became furious, stamped his feet, shook his fists, wept, etc. ; 
poured forth a multitude of words. In a quarter of an hour, he became 
quiet again, and soon after slept a little. Being visited by his wife, he at 



PLUMBUM. 11 

first received her roughly, and loaded her with abuse ; then suddenly began 
to caress her, and seemed greatly pleased with the visit,'*". — His facial 
expression does not at all times correspond with the character of the con- 
versation he is engaged in, nor with the other external influences which 
surround him. Thus, he will sometimes burst out laughing, while speak- 
ing of some very ordinary matter, or look serious and thoughful while 
answering the most simple question. Yet quite often his face wears its 
natural expression. At first he would not be taken for a victim of cerebral 
disease ; he is very quiet, and seems quite rational. But gradually as the 
conversation proceeds, he loses the thread of his ideas, and talks mere non- 
sense, or keeps contradicting himself most shockingly. When alone, he 
does not talk to himself. He eats, drinks, urinates, and goes to stool, as 
properly as anybody; sometimes he gets up to visit other patients in the 
next ward ; the latter do not at first perceive that his intellect is at all 
afiected, but when the hint is given them by the physicians, they soon de- 
clare that he talks wildly,™. — ^Rose from bed in the night, and tried to get 
into his neighbor's bed ; took a cravat from me ; a pair of trousers from 
another ; walked as if groping in the dark, and bruised himself against 
the stove, washstand, etc. ; talked to himself; at last the warden managed 
to get him into bed again. Quiet during the rest of the night ; but every 
now and then wanted his neighbors to give him " his drop." Next day, 
face wild ; eyes wide open ; by turns fixed and wandering. Abdomen no- 
where painful on pressure. Kept trying to get up in order to take his 
" drop," and called to the other patients, "Make haste and get up." His 
limbs were tremulous. His constant efibrts to get out of bed made it 
necessary to put him in a strait-waistcoat ; he struggled hard against it, 
screamed, howled, uttered threats ; became red with passion, and tried in 
every way to break loose ; called out to the passers by and begged them to 
set him free. During the day, he was sometimes quiet and silent ; some- 
times furious at the thought of being tied. He was never sleepy.- Fan- 
cied, at times, that he heard delightful music, which soothed his sorrows,'*'. 
— His utterance is drawling, difficult, and frequently broken ; so that he 
talks like a child who has not learned to speak plainly ; instead of " oui" 
for example, he says " id." Sometimes he cannot get hold of the right 
word ; then he frets and worries himself, and now and then becomes quite 
desperate. This difficulty seems to be met with chiefly in the case of sub- 
stantives; with adjectives, the intellect and organs of speech deal more 
easily,"". — His colic was almost cured, when the nurses and his fellow- 
patients observed that his intellect was affected, and that he wandered in 
his speech, but to so slight an extent, that the aberration escaped the notice 
of the medical attendants. He lay quiet, with closed eyes, as if in a peace- 
ful sleep ; when pinched as hard as possible he showed no sign of sensi- 
bility. When the fingers, hands, forearms, or arms were placed in any 
position, and left unsupported, they remained there for a few seconds, then 
oscillated a little, and fell back on the bed. This experiment was repeated 
several times, with the same result. The body was rigid, so that he could 
not be made to sit upright, and his attention could not be aroused for a 
moment. Suddenly he began to make a great variety of the most expres- 
sive gestui-es, at first with one arm only, but soon the other arm, the legs, 
trunk, head and face, all took part in these movements, which were per- 
formed in co-ordination, and seemed to express the same idea. Every mo- 
ment he appeared to be possessed by the most dissimilar and grotesque con- 
ceptions, which he embodied in this way. At the same time he cried out, 



12 PLUMBUM. 

and tried to speak, but was prevented by the liquid in his mouth. If, at 
this time, he was gently pinched, he showed by an abrupt movement, that 
he felt acutely. The upper limbs no longer remained fixed in any position 
they were placed in ; they were too stiff to be moved at all. After the 
movements had lasted some minutes, they were succeeded by a state of 
absolute quietude, and he lay just as he done before they commenced ; then 
they began again, to be again followed by a period of repose, and so on, in 
alternation. Now, he indicated, by a significant gesture, that he desired 
to eat and drink ; now he suddenly spouted the ptisan, which he had been 
holding in his mouth, all over the surgeon in attendance. Then came an 
interval of quiet and unconsciousness, during which his limbs remained in 
any position they were made to assume. Next was witnessed a series of 
the most expressive gestures, although he kept his eyes shut, and uttered 
not a single word. Their significance is constantly varying; sometimes 
they seem to indicate, rage, sometimes despair, sometimes entreaty, some- 
times the most profound meditation. At last he suddenly opened his eyes, 
called for drink ; then seemed to fall asleep again while swallowing his 
ptisan, but is easily aroused by being spoken to; then he opened his eyes 
fully, began to talk about his mother, and while rambling volubly from 
one incoherent idea to another, still answered questions rationally. Left 
to himself, he talked incessantly, followed up an idea for a minute or two, 
and then left it for another. At one time he became much agitated, tried to 
get up, addressed the doctors, abused them, tried to strike and bite the 
nurses when restrained, and at last, shouting and struggling, was put into 
a strait-waistcoat. On the second day of the delirium, he was lying 
quiet, with eyes half open. Soon he aroused completely, began to talk 
very fast, and at first answered questions rationally. Bjit after conversing 
a few minutes, his thoughts became confused, and he began to ramble and 
talk to himself. By attracting his attention again, he could be brought 
back to the original topic, then got off the track again, and so forth ; so 
that his talk was a mixture of sense and nonsense. He was frequently 
influenced by the most grotesque delusions ; he fancied that a cavalry regi- 
ment was about to fall upon him ; or that he was in the presence of his 
employer, who was finding fault with him. His face looked rather wild ; at 
times he bursts out laughing. His head was full of notions. He recollected 
very well what happened a month or more ago ; but could not call to mind 
things that occurred only a few days before his delirium set in,™. — He 
seems to recognize familiar acquaintances ; sometimes he talks unintel- 
ligibly to himself; more frequently is silent. When his attention is strongly 
attracted, he at first answers rationally ; then suddenly utters some words 
without meaning or connection ; afterwards takes up again the thread of 
logical thought. He usually waits some time before answering a question ; 
it seems as if it required great mental exertion for him to understand what 
is said,"". — [60.] During the evening of the seventh day, suddenly great 
restlessness ; he hears everywhere threatening voices, officers come to ar- 
rest him, to seize his furniture, and to expel him from his lodgings ; the 
voices come from the pillow, the mattress ; they enter by the window, 
where he sees people, and they consult about him with closed doors ; he 
gets up, looks for his clothing, wants to run away, to his lodge, etc. The 
next morning he sits at the edge of his bed, the eyes fixed steadily to the 
window, or looking about in a restless manner ; he recognizes all persons 
around him, replies correctly to all questions, but cannot recollect what 
he ate yesterday, whether his bowels moved or not, and looks to his wife in 



PLUMBUM. 13 

an interrogating manner ; insists, though as if afraid to acltnowledge it, 
on the reality of his hallucinations,^". — He had, some time back, illusions 
of vision ; saw castles, palaces, but these have ceased since he entered 
the hospital,*™. — Has a cachectic look ; cheeks hollow and pale ; yellow 
complexion ; no signs of lead poisoning, aside from the cerebral symp- 
toms. Yet this case is not one of encephalopathy in any form. It is a 
chronic affection of the mind, which we must try to describe in order to 
characterize it. He is absorbed in himself; pays no attention to what 
goes on about him. He does not converse with his neighbors ; when 
questioned he answers rationally, indeed, but briefly. When his wife 
and children come to see him, he pays no attention to them, and goes 
on with what he is about, as if they were not present ; yet he says he is 
fond of them, and seems to think a good deal of their visits. He has 
never shown any irritability. When in bed he keeps moving his hands ; 
folds and unfolds the coverings. Sometimes he gets up and wanders about 
the room> now singing, now gradually quickening his steps, as if impelled 
by an irresistible force, now stopping and turning about abruptly ; his gait 
is uncertain. His behavior is nearly the same day and night,™. — ^The 
patient imagined that he was constantly followed, and that he heard voices 
coming from the chimney (temperature 36.5°, pulse 64, regular and small, 
good appetite, clean tongue, very slight colic, no paralysis, with a blue line 
on the gum, with constipation) ; this man after a few days wished to leave 
the hospital and go home, because he was convinced that there were fiends 
in the building that pursued him and sought his life,''". — The cerebral func- 
tions were strangely disturbed. Various hallucinations showed themselves. 
Erroneous ideas were formed as to the identity of herself and those around 
her, and the situation in which she was placed. A mild, but easily con- 
trolled form of delirium arose. For some days this alternated with a dif- 
ferent'state ; if she attempted to speak to those around her, she seemed to 
have difficulty in finding language, and before she could succeed in con- 
veying her meaning, the idea fled, and a jumble of unconnected words 
■was all that escaped her. And now the condition of the nervous system be- 
came one of apathy. Impressions were made upon the senses with diffi- 
culty, and speedily vanished ; her attention was no sooner gained than it 
was lost, and she remained for hours at once in a state of semi-consciousness. 
At this stage, phenomena were occasionally present approximating to those 
described as characteristic of catalepsy and ecstasy. On placing the arms, 
for example, extended in any particular position, they remained fixed in it 
for some minutes, and then slowly relaxed and sunk down ; at other times 
she would remain for a considerable period unconscious of anything around 
her, but with her eyes fixed and gazing intently before her. Ou one occasion, 
after the action of a purgative, she was for abouttwelve hours quite insensible. 
She lived for five weeks after the appearance of the cerebral symptoms, and 
for four months from the time when her health began to break down. Before 
her death she was seized with convulsions of an epileptiform character, 
which continued with short intervals for forty-eight hours, and upon the ces- 
sation of which she passed into a state of complete coma and died,™. — Often 
getting out of bed and wishing to go home ; sometimes not recognizing his 
family ; thought they were conspiring to kill him,^^°. — Hallucinations of 
mind, she seemed to see her dead husband and child in a tree out of the 
■window,"'. — He saw many colored figures in constant motion, as soon as 
he closed his eyes,'". — Delusions at night,'". — On first recovering conscious- 
ness the people in the ward seemed to him as small as dolls, and the oppo- 



14 PLUMBUM. 

site of the room seemed to be sunk forty feet below his own level. These 
erroneous impressions he was conscious of at the time, and they disappeared 
in four days,^". — [70.] Kaudom talking all night,™. — The colic was not 
severe, and was getting better under treatment by Crotou tig., when the 
face was observed to have a singular expression. There was an astonished 
look, as if something extraordinary had happened ; and he had a thought- 
ful appearance, which was not borne out by his answers to our ques- 
tions. In the evening delirium set in, and lasted all night. Next day 
he talked incessantly about everything. At 9 a.m. he had an attack of 
epilepsy, followed by deep coma, which lasted almost all day, and during 
which he only uttered a few cries,"'. — Talked rather wildly; got out of 
bed ; ran about the room ; called to his companions ; wanted to go to work, 
etc. ; yet complained that he could not see his way, and knocked against 
the beds, stoves, etc.,'". — He could keep up a long conversation quite well, 
but would wander in his speech every now and then. Generally, when he 
was talking, no one would imagine his brain was affected, if they did not 
see his strait-waistcoat. When he began to rave, the facial muscles were 
seen to twitch and contract spasmodically, giving his face a hideous ap- 
pearance,'". — Talks to himself a good deal, mostly about his business, his 
associates, or his relatives. When his attention is forcibly attracted, and 
he is asked where he feels pain, he places one hand on the middle of his 
forehead, and the other on his stomach, and utters a few words which in- 
dicate unmistakably the seat of suffering; but if he is not talked with, 
so as to keep his thoughts fixed, his mind begins to wander, or he falls 
asleep,'"". — Got up to go to stool, but, instead of returning to bed, began 
walking the room with bare feet, and talking incoherently on all sorts of 
subjects; imagined he was going to be poisoned; that his bed was full of 
ants, etc.,"'. — Talked at random all night ; rose and tried to get into the 
neighbors' beds; at times screamed out; abused the nurse furiously,'". — 
Talked all night, mostly about how he should destroy his fastenings,'". — 
Talked all day long; made attempts to get out of his strait- waistcoat,'". — 
At night, does nothing but babble; now and then jumps out of bed, 
swears, blusters, so that he has to be put into a strait waistcoat,^". — 
[80.] In conversation he sometimes talks sense and sometimes rambles,'". — 
Does nothing but babble all night; wants to get out of bed every now 
and thenj''^ — Language extravagant,"". — Searching about on the floor,*". — 
The patients were in a state of nervous irritability, difficult to describe. 
In their beds they were restless and unable to find an easy position, and 
after many useless eflbrts they fell back exhausted and worn out, with 
pain ; the respiration became hurried ; the heart's action was painful and 
violent ; groans and sighs were uttered with vehemence, whilst abundant 
tears ran from their cheeks; symptoms greatly resembling those of hysteria. 
These tears, sighs, and groans were not occasioned by the violence of the 
pains, and often coincided with the abatement of the suffering,^"". — Very 
nervous, unwilling to be touched or have anything done for her,'™.^ 
Hasty temper,'^"'. — Manner frightened and nervous,'™. — Mind obviously 
much impaired,™". — Mind very much affected, so that he scarcely knew his 
old acquaintances,™.— [90.] When alone he sometimes talks to himself, but 
is generally silent and quiet, though he never closes his eyes, and thus he 
remains all day long,'"'.— Between the paroxysms she is silent, and gen- 
erally calm and quiet, sometimes rather restless,''^'. — Is generally silent ; 
when he speaks his words are disconnected, but his articulation is good, 
although the voice is somewhat broken. When he becomes interested in 



PLUMBUM. 15 

anything talked about, he sometimes answers rationally, sometimes sits fac- 
ing his questioner in silence, without looking at him. At times he answers 
a simple question quite wide of the mark,™*. — He was quiet and silent when 
left to himself,"^— Rather quieter in the evening than in the morning, but 
seems melancholy, owing to a terrified feeling, which he cannot shake off,"^ 
— Lies quiet in bed ; when spoken to sometimes makes no answer ; some- 
times begins a sentence slowly, and hurries over the rest of it, showing 
signs of bad temper,™. — He lies quiet in bed, seldom moving ; groaning 
now and then. When asked a question, he aiiswers in monosyllables, gen- 
erally to the point, but sometimes at random. When alone he seldom 
talks to himself, and then only utters a few incoherent and trivial words,"'. 
— Patient lay perfectly quiet in bed, and constantly murmured unintelli- 
gible words,***. — When spoken to, he looks everywhere but at his ques- 
tioner,'**. — Lively, good-humored (after two hours),*. — [100.] Good hu- 
mored, lively, that soon disappeared, in the afternoon,*. — Loss of the natural 
vivacity,'". — Silent, melancholy,'*'. — Repeated attacks of melancholy, of a 
religious character,'^. — Profound melancholy,'". — He fell into a state of 
melancholy, with stupefaction, great dulness of the senses, coma,*l — Melan- 
choly and dejections ; great anguish and depression of spirits,'"". — Mind 
greatly depressed (second day),*^ — Seemed rather melancholy,"'. — Would 
shed tears from slight causes,''^*. — [HO.] Sad, despairing raood,'*°. — Sad- 
ness,**'. — He is very sad, has no desire to live, and has threatened to de- 
stroy himself, and is very fault-finding with his friends,*™. — That vivacity 
which was a marked feature of his character was gone, and sadness and 
silence sat enthroned,™. — His mental condition was sad enough ; given 
over to thoughts of life-long pain, he imagined his disease incurable, and 
gave way to the gloomy thoughts which the fear of death excited, and to 
repinings caused by the dread of his journey to Valencia,'*". — There was 
great mental prostration, approaching hypochondriasis,"'. — Great despond- 
ency,'". — Great mental and physical depression ,**^ — Much depressed, fear- 
ing to die if left alone,**".— Despondency,'' '" ™.— -[120.] Much depressed 
in spirits and unwilling to see any one,'"'. — Great gloom and dejection of 
mind,"°. — Gloom of mind,'"'. — His spirits greatly depressed ; if a neighbor 
called to see him, he would burst into tears and be unable to speak for 
some time,'"*. — Deep-settled gloominess of mind,"'. — Spirits depressed,™ ^"^ 
— Exceedingly depressed,^"'. — Longing for a distant friend, in the evening, 
before falling asleep,'. — Avoids society,'*'. — Naturally cheerful, his spirits 
became depressed, and he became very nervous,™. — [130.] Extreme ap- 
prehension,*'. — Anxiety, with difRcult respiration, so that the patient seemed 
almost suffocated from fright ; he could get his breath only while sitting,^''. 
— Anxiety,"'" """*". — Anxiety and sighing,*. — Extreme anxiety,"*"'"*.— 
Frightful anxiety,'*. — Great anxiety, during which she could not take a 
sufHciently deep breath, with increased palpitation (after three-quarters of 
an hour),**. — Discouragement,'*. — Distrust,"*. — Fear ; easily frightened,'". 
— [140.] Uneasiness,*". — Extreme restlessness,*'. — Discontented with his 
circumstances in the morning, on waking,'. — Ennui ; was out of sorts with 
everything (after six hours),*. — Ennui, quiet reserve, in the afternoon,*. — 
Hypochondriacal and peevish,'". — Very much out of humor and weary of 
life,'. — Out of humor, all work frets her, in the afternoon,*. — Irritable,"'. 
— Great irritability,'**.— [150.] The child was sensitive and fretful, when- 
ever any one approached ; it cried and whined a great deal and would not 
play,*'*. — Morose mood, disinclination to talk to any one, and frequent at- 
tempts to escape ; this morose mood at times alternated with the most lively 



16 PLUMBUM. 

mood, during which he laughed immoderately, without reason, accompanied 
by hallucinations of mind,*'^. — Complete indifference, with sopor, alternating 
with extreme difficulty of breathing and headache,'^^ — Intellectual. 
Extremely active, absorbed in work, thoughtful, in the afternoon,^ — Mental 
indolence,'"'. — Less inclination to work,*'". — Very indolent, disinclined to 
work,*. — The desire and ability for work were very much diminished (thiW 
day),'. — Indolent, weary (after three-quarters of an hour),*. — Disinclined 
to talk, after dinner,*. — [160,] No disposition to work,''"'. — Indisposition to 
labor and conversation,'"'. — The intelligence and power of utterance vary 
curiously at different times,"'. — The intellect more or less disturbed,'"^ — 
Thought and speech difficult,'™. — Cannot fix his thoughts upon anything,"*. 
— Reading is very tiresome to him ; he mistakes one word for another, and 
skips the lines,''l— *Slow of perception,'*''. — His answers are slow and 
short,'*'. — Intellect seemed affected ; answers not so rational,"*. — [170.] 
Answers slowly, and in a weak voice,*'". — Answers at random,"*. — Answers 
questions vaguely; and admits that his memory is much impaired,*". — 
He answers well enough, but this evening made a mistake in giving his age,*^'. 
— Sometimes utters a few broken, disconnected words,"*. — Memory much 
impaired ; sometimes does not know his own bed,*"". — *Loss of memory, 
so that while talking he was often unable to find the proper word,"". — 
*Loss of memory,"* *** *"' *" *'^ — * Memory difficult,™. — Remarkable weakness 
of memory ,''^ — [180.] Loss of mind,'^". — Intellect clear, but memory seems 
much impaired,'™. — ■ Weakness of memory (fourth day),* ' ™. — Has been much 
troubled for twenty years by a singular cerebral affection, returning at in- 
tervals, and characterized by restlessness, constant inclination to move 
about, loss of memory, and indecision. This mental condition has several 
times obliged him to enter a hospital. He does not recollect either the 
dates or the duration of these seizures, nor anything respecting their treat- 
ment,*"". — Loss of understanding,'"". — -Memory is much impaired,'*". — 
Slightly lethargic,'"'. — * Apathetic condition,™. — Gradually increasing apa- 
thy,'". — Her mind at first was stupid,'*' — [190.] Tendency to stupor,'"". — 
Mental torpidity; answers slow and stammering,*™. — Intellect obscure,*"*. — 
Takes no notice of anything about him, unless aroused by pain or an 
attendant,'"". — While hard at work, and apparently in the best of health, 
he suddenly fell back unconscious ; no spasms, foaming at the mouth, etc.,"". 
— She fell down unconscious while attempting to walk, soon,"*. — Loss 
of all senses, with constantly recurring, most violent general convulsions,". 
■ — For the most part unconscious, but at intervals he answered promptly 
the questions that were put to him,*'". — For the most part unconscious, but 
occasionally had lucid intervals,**". — Scarcely recognizes his nurse,"*. — 
[200.] Loss of consciousness,*"' *". — Loss of consciousness, occasionally re- 
turning, followed by epileptiform spasms, with bloody froth from the mouth ; 
succeeding these attacks there was left-sided paralysis of motion and sen- 
sation,*".t — Lies motionless and crouched together ; eyes shut or half shut. 
Often snores as if in the deepest sleep. Now and then he utters some dull 
grunts; makes some automatic movements; half opens his eyes and shuts 
them directly. Cannot be roused by the sharpest questioning ; has to be 
pinched hard ; then he opens his eyes, at first partially, then widely ; and 
finally, without answering, falls back into lethargy. Sometimes, when an- 
noyed by these experiments, he turns in bed, and makes a dull grunting, 



t Microscopical examination of the brain showed granular fatty degeneration of 
the walls of the vessels and deposition of large quantities of amyloid corpuscles. 



PLUMBUM. 17 

indicative of his displeasure,'*'.— After working hard all day, feeling quite 
■well, he took supper as usual, but on rising from table suddenly fell back 
unconscious, without spasms, foaming at the mouth, or paralysis. Was 
taken to bed, and in about three-quarters of an hour recovered conscious- 
ness, but was somewhat delirious. Next day this wild delirium continued, 
but nevertheless he walked to the hospital with some companions,™. — Sud- 
denly fell back unconscious, without convulsions or foam at the mouth. 
Two minutes after he raised himself up and said, " It is nothing." Next 
moment he was trying to reach the bed of one of his fellow-patients, when, 
for the second time he suddenly fell unconscious, without the slightest 
spasm, either then or afterwards ; he was carried to bed in this condition, 
and remained in a state of profound coma, from which he could not be 
roused for two or three hours. At the end of this time he opened his eyes, 
now and then, and talked about all sorts of things, imagined he was spoken 
to, answered his neighbors, and theu relapsed into somnoleucy. This alter- 
nation of coma and loquacity lasted a great part of the night. Next morn- 
ing he was found apparently fast asleep ; at the end of an hour he appeared 
to rouse up suddenly, half opened his eyes, uttered a great many disconnected 
words, tossed about in bed, rose and urinated on his pillows, put his head 
down and lifted his buttocks iu the air, then relapsed into coma. If be 
was pinched or very sharply spoken to, during his lethargy, he at first 
would open his eyes and then shut them directly ; at last, by continuing 
the use of stimulants, he was made to open his eyes completely; they were 
fixed and wild-looking. If now he was questioned earnestly, he would 
look hard at the questioner, without being able to utter a single word, or 
else he would stammer out some disconnected words, and then fall back into 
coma,™. — Lies on his back, crouched together, quiet and sleepy, eyes shut 
or half shut. At times snores as if sound asleep. Rouses from this state 
of sopor only to utter a few inarticulate words in a weak voice, half open 
his eyes and immediately close them again. When stimulated, as by pinch- 
ing, he at first gives evidence of no sensation whatever, but if the stimula- 
tion is kept up for some time, he slowly draws away the part operated on, 
and then opens his eyes, which look quite wild ; rolls them about stupidly, 
and returns no answer when questioned ; falling back finally into lethargy. 
His features are motionless and inexpressive; at times, some automatic 
movements of the head and arms take place,"'. — Intellectual torpor,"''^. — ■ 
Stupefaction and deep coma,". — He fell down stupefied,'^*. — Complete stupe- 
faction and insensibility, from which, however, he could be roused by loud 
cries, but gradually sank back into his former condition, murmuring unin- 
telligible words,'^". — [210.] Seems to be always asleep ; it is hard to rouse 
him from this state of coma, and he only wakes enough to half open his 
eyes, and answer everything with yes or no, indistinctly uttered in a loud 
voice, then turns over iu bed and falls asleep again. If, after being well 
shaken, he is asked where he feels pain, he points slowly towards the um- 
bilicus ; he says and does everything very slowly,'*". — Alternate coma and 
delirium,^™.— Coma, lasting three weeks,**l—Cbma,^'' ■'**"".— Coma suc- 
ceeded, at 4 P.M., by another epileptic fit, soon after which he begins to 
talk at random,™ — About midnight, after a violent epileptic fit, he fell 
into a profoundly comatose state, from which he could not be aroused. Lay 
doubled up in bed, with eyes closed and pupils widely dilated,™. — Coma, 
with at times automatic movements of hands to the occiput,^'". — The nurse 
said that the coma supervened upon a violent epileptic fit, which seized 

VOL. yiii. — 2 



18 PLUMBUM. 

the patient about midnight/'". — Comatose state, from which he arouses 
when spoken to/™. 

Head.— Vertigo. Fcr«i>o/° "" ^^ etc.— [220.] Vertigo, almost im- 
mediately; everything seemed to tremble and whirl before her,^"'. — Ver- 
tigo, immediately,"*.- — Frequent vertigo,^'. — Vertigo, and intoxication in 
the head,**. — Vertigo, on stooping or on looking up (eighth day),^ — Ver- 
tigo and convulsions,™. — An attack of vertigo, of short duration,^'*. — One 
patient had vertigo and convulsions several times,'"*.— Often suddenly 
seized with slight attacks of vertigo,"^ — Frequent dizziness (second day),'*'. 
— [230.] A dizzy feeling, vanishing in the open air (after two hours and 
three-quarters),*. — Attacks of giddiness,^™ °". — Giddiness frequently, when 
stooping,™. — General Head, Trembling of the head,'l — Head turned 
to the right, its rotation to the left being prevented by paralysis of the 
sterno-cleido-mastoid muscle of that side,'**. — Heaviness of the head,*^^ **° *" 
483 485 486_ — Hcaviuess of the whole head, especially in the occiput, with slight 
stitches in the sinciput (after two hours),''. — Heaviness of the head ; it falls 
forward (after two hours and a half),*. — Heaviness in the whole head, ex- 
cept in the occiput, with slow stitches in the sinciput,'. — Head heavy, with- 
out real pain,"l — ^[240,] Weight in the head (second day),"". — Excessive 
heaviness of the head,*™. — Dulness of the head,**. — Head dull, dizzy, soon,"''. 
— Head dull and confused,^'". — Head dull and heavy, while standing (after 
half an hour), gradually disappearing,*. — Great dulness of the head, a kind 
of mixture of dulness and dimness of mind, so that he frequently rubbed 
the forehead with the hand (first hours),^ — Headache,' *' '^ '**, etc. — Violent 
headache,' '" ™' *'» "^ ^".—Excruciating headache,™.- [250.] Violent head- 
ache, with vomiting,'". — Violent headaches, with vomiting, frequently re- 
peated, sometimes every two or three days,'^^ — Terrible cephalalgia ; it 
seemed to the patient that if it continued he would lose his reason,"". — 
Severe headache, with vertigo, and sensation of intoxication,*"". — After this 
he has a very severe and long-lasting headache; for fifteen days it has been 
almost constant,*^". — Severe and persistent headache, all over the head, so 
bad as to prevent sleep,*"". — Rather severe headache,™*. — The patient was 
attacked with violent headache, confusion of mind, during which he an- 
swered slowly, and seemed to have lost his memory ; fell asleep in the 
evening; soon woke dizzy and with mental dulness, that gradually devel- 
oped into a comatose condition, and was followed by death,**'.f — Habitual 
headache,™. — Frequent headache, especially on waking, in the morning,''*. 
— [260.] Frequent headache,*""*". — Headache, for two months,*^*.— Fre- 
quent attacks of cephalalgia and vertigo,"^ — Severe cephalalgia,"™. — Head- 
ache, with obscuration of vision and tendency to sleepiness,*'^. — Headache, 
with anxiety, extending to the forehead, with dim vision, contracted pupils,''^'. 
— Violent shooting headache,"'*. — Slight headache anteriorly in the left 
parietal bone (after one hour),*. — Headache and inappetency,'"*. — Violent 
pressive headache, so that the patient could not hold the "head up,'**.— 
[270.] Pressure beneath the skull, as from rush of blood to the head,*. — 
Dull headache,***. — Violent pain and heaviness of the head, with confusion 
of mmd,^\— Very severe pains in the head,^''^ '^*' ***. — Contractive pain in the 
head and cheek (from local application),'*^ — Severe pain in the head, espe- 
cially in the occipital region,**". — Lacerating pain in the upper part of 



t The heart was fatty, the walls thicker and paler than normal. The capsule of 
the kidney was found adherent to its substance ; the kidney showed interstitial in- 
flammation, with fatty degeneration. The brain was softened. 



PLUMBUM. 19 

the head, reeurriug at intervals, like those of the face, worse by paroxysms, 
and somewhat ameliorated by pressure,"*. — Pains in the cranial bones and 
in other flat bones,'°^ — Rather severe left-sided hemicrania, extending to 
the same side of the face, with aggravation at night,^'''. — Stitches here and 
there in the head, especially in the right ear, very violent in the afternoon 
and evening,*. — [280.] Head symptoms relieved by hot-air batlis,*''l — 
Forehead. Sensation of heaviness in the forehead, soon vanishiag, after 
the morning soup,*. — Frontal headache, ^^^ ™ *"" *'' *" "'. — A very severe head- 
ache, especially in the frontal and parietal regions, comes on immediately 
after each attack of colic,"'. — Much frontal headache,™. — Frontal head- 
ache, worse by paroxysms, with feeling of dislocation ,"'^ — Frontal head- 
ache, with heaviness of the head,*''. — Headache in the forehead and tem- 
ples, especially on the left side,*". — Headache in forehead and temples,*"- 
— Dull headache in the forehead, with tearing in the nape of the neck,*. — 
[290.] Violent pains in the forehead (first day),"*. — When asked where 
he feels pain, he says it is in the head, especially the forehead,^"*. — Shooting 
pains across the forehead, with pressing pain,^*'. — Tearing back and forth 
in the forehead (after two hours and a quarter),*.^Headache ; tearing in 
the forehead, with heat in the head and redness, without external heat, 
lasting a few minutes; in the afternoon,*. — Sensation of tearing and con- 
traction in the forehead (after six hours),*. — Tearing in the middle of the 
forehead, slowly increasing, frequently intermitting (after two hours),*. — 
Pressure in the forehead, rather externally (second evening),*. — Sticking 
in the brain, in the forehead (after six hours),*. — A small fine stitch in the 
left frontal eminence (after two hours),*. — [300.] Frequent stitches in the 
right frontal eminence (after two hours and a half),*. — Slight heavy pain 
in the forepart of the head,'^\ — Temples. Hard throbbing of the tem- 
poral arteries,'™. — Temples throbbing,™. — Temples felt compressed, as if 
in a vice, and she experienced cruel lancinating pains there,^*". — Constant 
constriction and twitchings in the temples (second day),™. — Sensation of 
"clucking" in the left temporal region, extending to the ear,*''*. — Tearing 
in the right temporal region (after two hours),*. — Tearing sticking in the 
left temple (after two hours),*. — Tearing in the right temple, then in the 
right ear (after one hour),^ — [310.] Dull sticking pain in the right tem- 
poral region, that was also sore externally (first day),l — Twitching in the 
light temple (after one hour and a half),*. — ParietalK. Very violent 
pain in the left side of the head,'^ — Violent pains in left side of head,"'. — 
Violent sticking and beating in the right side of the head, while walking 
and standing, in the forenoon,*. — Sticking inward in the upper part of the 
right parietal bone,*. — Sticking and tearing in the upper part of the right 
parietal bone (after five hours and a half),*. — Occiput. Sensation of 
heaviness in the occiput, as if its weight were increased,^ — Violent head- 
ache in the occiput, extending to the ears and temples, dull, pressive, com- 
mencing while asleep, so that the patient frequently rose from bed, walked 
about the room, holding his head with both hands, and as soon as the pain 
was somewhat relieved, lay down again to catch a short nap,'™. — Headache 
partly in the occiput, at times extending as far forward as the forehead,^'". 
— [320.] Dull pains in the back of the head, extending from the spine 
upwards,'^*^ — Pressure in the occiput forward towards the forehead, with a 
feeling as if the eyes would close with heaviness, disappearing on standing 
up (after one hour),*. — Violent stitches in the sinciput, lasting a long time, 
at 9 P.M.,*. — ^External Head. (The hair becomes remarkably fatty ; 
formerly it has always been very dry), (curative action), (first day),^ 



20 PLUMBUM. 

Eye. — Objective. Eyes swollen, painful,^^ — Eyes wide open, fixed, 
and hard,™.— Eyes wide open and fixed,^*^ '**. — Sometimes the eyes are 
half open, sometimes kept wide open, but generally they are closed ; when 
opened, they are wild-looking or fixed, looking nowhere in particular,™'. — 
Generally a fixed look,"'^''^ — Eyes fixed, and at times wild-looking,"". — 
[330.] Eyes staring,'"".— Eyes wild and rolling,"'".— Eyes wild,"^— Eyes 
rather wild,''". — Eyes at times wild and shiny,^". — Eyes glistening and 
protruding,'". — Eyes brilliant, and projecting from their orbits (after one 
day),^*".— Left eye quite transparent ; iris slightly contracted by artificial 
light,'"'. — Eyes unnaturally prominent,^"^— Protruding eyes,''^ ^'l — [340,] 
Eyes hollow, and surrounded by blue rings,'™. — Eyes hollow and quite 
dim,'™. — -Eyes sunken,'*" ™ ''^ — Eyes hollow, and surrounded by blue 
rings,"^ — Blue color around eyes, the rest of the face having a decided 
dingy-yellow color,™. — Blue rings around the eyes, which are somewhat 
sunken,*'^ — *IIypopium,*^. — Convulsive twitching of the muscles of the 
eyes and in the hands,"". — Frightful distortion of the eyes,'". — Twitching 
of both eyes (after two hours and three-quarters),*.' — [350.] Squinting,'"" *'''. 
— Strabismus; one eye turned in toward the nose, and he could not roll 
it out ; the external muscle of the eye was paralyzed ; he could see dis- 
tinctly as ever with either eye separately, but when he looked with both 
the object appeared double,™*. — Eyes dull,™. — Eyes large and red,''^— 
Inflammation of the eyes (fourth day),*'. — Rush of blood into the eye (sixth 
day),^ — Livid color of the eyes, especially of the inner canthi,". — Fundus 
oculi black,'"" '""""'"" ™.—*&fero<iea yellow^''.— Yellow color of the eyes,''". 
— [360.] White of his eyes quite yellow^'"''. — Eyes slightly jaundiced,'^^. — 
Sclera dirty-bluish gray ,""'*. — Yelloiv tinge of sclerotica,^^'. — Sclerotica some- 
what jaundiced,^'^. — Slight icteric color of the sclerotic,'". — Eyes constantly 
shut ; although the lids were kept somewhat apart by a stifliiess of the 
muscles, they were not in the least paralyzed,"^ — Neuritis optici; papilla 
swollen {examination after death shoived interstitial hyperplasia of connective 
tissue; the sheaths of the optic nerves were distended by fluid; the cerebro- 
spinal fluid was greatly increased; the brain-substance anwrnic, and the gray 
portion yelloioish),^^'. — "Cirsophthalmia;" a varicose enlargement of the 
bloodvessels of the cornea, extending like a thick network to the centre, 
and causing complete obscuration of it,*'.f — Ophthalmoscopic examination 
betiueen the paroxysrns showed that the disk was prominent, its outline hazy, its 
color an opaque bluish-white, the sclerotic ring not visible, and the vessels 
diminished in calibre. Beyond anaemia of the brain-substance, and a 
marked increase of cerebro-spinal fluid, there were no marked eye changes 
found in the brain ; the sheaths of the optic nerves were distended ; mi- 
croscopic examination showed numerous capillary vessels throughout the 
swollen disk, and a moderate development of the nuclei of the connective 
tissue; there were none of the spindle-shaped swellings of the nerve-fibres 
found in the former case,^'". — [370.] Neuritis op.; with normal field, di- 
minished acuteness of vision, with a central scotoma and persistent flicker- 
ing,"'. — Subjective. Heaviness on moving the eyes and pain in the in- 
ternal muscle, extending backward (first day),l — Sensation of pricking in 
the eyes,*"*.— Eyes fatigued,™.— Sticking pain in the left eye,"".— Burning 
in the right eye, as though tobacco were in it (after two hours),*.— _Brow 
and Orbit. Much hair falls from the eyebrows,".— Supraorbital head- 

t Prom four months external use of Extractum saturni, in three ounces of rose- 
water, for taraxls. 



PLUMBUM. 21 

ache (after one houOj^^l— Pressive pain above the eyes, on moving them, 
lasting several days,". — Feeling of fulness and weight, together with ex- 
cruciating pain, in the orbits,"'.— [380.] Sense of fulness and heaviness, 
together with excruciating pain, in the orbits,''". — Weight above the 
orbits,*'*. — Supraorbital pain (second day),'"'. — Lids. Eyelids red (second 
day),l — The eyelids became excessively swollen and sensitive,™. — Lids 
agglutinated by thick yellow mucus,"'. — Upper eyelid droops very much,"l 
— Twitching of the right upper lid (after one hour),*. — Violent closing of 
the lids, as if the eye were placed in a press,". — Complete paralysis and 
insensibility of the lids,". — [390.] Ciliary neuralgia of the right side, fol- 
lowed by dulness of vision,**'. — Heaviness of the lids,''" ™. — Contraction in 
the eyes, especially in the lids,". — Sensation as if something were under the 
lids, and as if the eyeball were too large, an acute pressive sensation,'. — 
Tearing in eyelids, with sleepiness, after soup, in the morning (after three- 
quarters of an hour),*. — Itching of the canthus of the left eye, and pain, as 
from rubbing,^ — Itching ou the left upper lid provokes scratching, which 
relieves (after a quarter of an hour),*. — Lachrymal Apx>aj^atus. 
Profuse discharge of acrid corrosive tears, that contract the skin,*'. — Pro- 
fuse acrid lachrymation, with diminished vision,". — Profuse lachrymation, 
without any other affection of the eye,"'. — [400.] Profuse white watery 
discharge from the eyes, without inflammation or any other complaint 
of the parts ; this discharge shortly became thicker and agglutinated the 
lids, so that he had to moisten them in order to open his eyes; in the morn- 
ing,'"'.— Co«jM«Ct/ra. Conjunctiva suffused with blood,'". — Effusion 
of apparently coagulated blood under the conjunctivEe (fourth day),'*'. — 
The conjunctiva of the left eye became suffused with blood,"^ — Conjunc- 
tiva oedematous,*"". — Conjunctiva pale,*". — The conjunctiva is bloodless,""". 
— Conjunctiva sallow,**'. — Conjunctiva somewhat jawwdieei^,""" ™' *™ *". — ■ 
Slight jaundiced color of the conjunctiva and skin,"*'. — [410.] Conjunctiva 
of a well-marked livid yellow color, observed nowhere else,"". — Conjunc- 
tiva yellow,"' '" "" "* *"' *'* °'".— Slight yellowness of conjunctiva,'"' '"° "» *=» *"'. 
— Conjunctiva dingy yellow,'''. — Conjunctiva dingy yellow, with a shade 
of blue,"". — Dingy yellow hue of the conjunctiva and of the skin of the face 
and entire body,"'. — Conjunctiva, of a well-marked dingy yellow hue,"". — 
The conjunctiva shows this dingy yellow color very decidedly, and here it is 
usually blended with a well-marked bluish tinge,'". — Conjunctiva dry,^'°. — 
Hall. Pains shooting through the eyeballs on closing the lids firmly (sec- 
ond day),"". — [420.] Jerking tearing in the left eyeball, in the forenoon,*. 
— Muscular spasms of right eyeball,*". — A violent stitch, with burning, 
beneath the left eyeball, at 2 p.m.,*. — Pupil. Pupils strongly dilated, yet 
the iris contracts, and vision is unimpaired,'".— Pupils strongly contracted; 
iris insensible to a bright light,'". — Pupil widely dilated, and insensible to 
artificial light; fundus oculi black,"". — Pupils strongly dilated ; insensible 
to light,"". — Both pupils excessively dilated, but in different degrees, and 
unequally throughout their respective circumferences,"'. — Pupik exceed- 
ingly dilated,^^^ "" *" ™. — Pupils strongly dilated, but irregular in their entire 
circumference ; they do not contract near a bright light,"'. — [430.] Pupils, 
especially the right pupil, so much dilated, that only a trace of the iris was 
visible. A lighted candle had no effect on them at a distance of four or 
five inches, but when brought to within half an inch, the iris was seen 
to contract slightly, especially the left iris, and the lids made some efforts 
to close,'™. — Left pupil more dilated than the right,*". — Pupil of right eye 
considerably dilated; iris absolutely immovable,'". — Left pupil dilated. 



22 PLUMBUM. 

till the iris is almost invisible; it does not contract under artificial light,"'. 
— Right pupil dilates and contracts somewhat under the influence of light, 
and there is some power of vision in the right eye,'*'. — Pupils uneven, the 
left one rather more than the right,*"'. — Pupils moderately dilated,'^ ^". — 
Dilated pupils,'" '" *''. — The pupils are dilated, sometimes closed,"'. — Dila- 
tation of left pupil less in degree, and unequal all around, so that the pupil 
is no longer circular,"^ — [440.] The pupils seem at first spasmodically con- 
tracted, unnaturally small, afterwards they become much dilated, insensi- 
ble, paralyzed, and are not at all contracted by the light,*". — Pupils con- 
tracted, and only slow of reaction,™. — Pupils quite contracted, but sensitive 
to light,"'. — Pupils contracted,"'. — Pupils insensible to light,*''. — Vision. 
In the left eye acuteness of vision was normal ; by the right fingers were 
counted at only IJ meter (instead of 70, normal); ophthalmoscopic ex- 
amination showed very greatly dilated veins in the fundus of the left eye, 
no neuritis optici, visual acuteness of the right eye ^'^, perception of 
color very feeble ; field of vision very greatly limited, 20 degrees from the 
point of fixation,*'*. — Sight and hearing have always been better on the 
right side than on the left,*'l— DipZopm,™ "'. — The shortsightedness in- 
creases,''. — (Shortsightedness diminished, with general increased vigor, in 
the forenoon, when walking in the open air),'. — [450.] Dimness of sight,^"^ 
*" **°, etc. — Sometimes dimness before the eyes, without noise in the ears,"*. 
— Impaired vision of the right eye,*" **' ™. — Dimness of vision, especially 
of the right eye,*". — Impaired sight,**'. — Dimness of vision almost imme- 
diately, and second day,^*". — Very dim vision ; cannot recognize persons, 
even at a short distance (for a few days),"'. — Dimness of vision, coming on 
in the following manner: He feels a weakness in all the limbs; at the same 
time there is a roaring in the ears, and an appearance before the eyes like 
falling snow or showers of fire; he almost loses consciousness, and has to 
lean against something to prevent falling. This occurs from twice to six 
times daily (generally two or three times in twenty-four hours),^". — Weak- 
ness of sight,*" *''. — Sight weak ; some diplopia of right eye, which is also 
aflfected by external strabismus,"^'. — [460.] Diminished sight and hearing, 
followed by complete amaurosis, that, however, gradually disappeared,'\ — 
Vision dim and confused,'**. — Vision indistinct,'". — Can hardly distinguish 
light from darkness with the left eye, which looks quite sound,'®". — Sight 
became weak in one,™. — Vision became imperfect,"'. — Vision dim and 
veiled, double,'". — Complains of obscure vision and a strange uncomfort- 
able feeling,'**. — Diminished vision ; the ophthalmoscope showed venous 
congestion, with sinuosities of the bloodvessels,*'*. — Vision became feeble,***. 
— [470.] Could not see anything distinctly ; objects appeared double, ex- 
cept when she was close to them,*^'. — He does not see as well with the left 
eye as with the right ; objects at a certain distance seem double or triple,*". 
—Vision diminished to ^ ; the visual field was not diminished ; optic pa- 
pilla normal, though the veins were greatly dilated with blood,**'.f — Amau- 
rotic weakness of vision,"^ — Complete and sudden loss of vision succeeded 
an attack of most violent headache and colic,'*. — Sudden loss of vision, with 
headache, with sensitive pupils ; after a few minutes the patient was able 
to count the fingers ; this was associated with wide-open staring eyes ; the 
upper lids seemed drawn far above the upper corneal margin; on attempt- 
ing to use the ophthalmoscope the patient became very restless and anxious, 

f This amblyopia recurred after about a year, and was cured by tartar emetic 
and leeches. 



PLUMBUM. 23 

rolled the eyeballs, spoke unintelligibly, and tried to get out of bed ; this 
was followed by an epileptiform spasm, with complete unconsciousness,™. 
— The patient suddenly lost the power of distinguishing objects about him, 
and for a short time could not see the light ; this sudden loss of vision was 
followed by a sudden paralytic spasm, with loss of consciousness ; on the 
next day the sight partly returned, so that the patient was able to see as 
through a fog, and for five days the sight gradually improved ; on the sixth 
day there was again sudden loss of vision, this time without headache and 
without subsequent convulsions,'*. — Loss of vision,^^ '*" '''". — Sudden loss of 
vision during or succeeding the attacks of lead colic has been noticed by 
many observers (Plater, Smetius, Schrock, Nebillius, and others),'".— 
Eclampsia, consequent upon ursemic poisoning, with albuminous urine,*'**. — 
[480.] Amaurosis,*"' ^' *'' ^'*. — Amaurosis and deafness were complications 
of motor paralysis in only six cases out of one hundred and two,**'. — Blind- 
ness,™. — Blindness (effects of large doses),'^'. — Transparency of the organ 
perfectly preserved ; sight completely destroyed,*"*. — Dazzling before the 
eyes,*" *'" '^'^ — Cloudiness of vision,*"^. — Vision as through a fog, with con- 
tracted pupils and leaden-colored sclerotics,'"^ — Was frequently obliged to 
wipe the eyes ; it seems as though there were a dimness in them ; for half 
an hour,\ — Sensation as of a cloud before the eyes; objects seem indistinct 
(after one hour),*. — [490.] A cloud before the left eye, with agglutijaation 
of both eyes, in the morning and evening (third day),*. — When his arm 
was fixed he used to feel dull, and had a mist before his eyes,*"l — Constant 
cloud about the eyes (after two hours and three-quarters),*. — Everything 
before the eyes seemed to tremble and to turn in a circle, immediately,^'*. 
— He sees only half of the objects he regards (in a painter ; disappeared 
along with the colic),"'". — Small yellow spots before the left eye, which 
cover what is looked at ; he distinguishes near objects no better than dis- 
tant ones, though at a certain distance things seem to jump,*"". — Every- 
thing seems yellow,^"'. — It becomes black before the eyes,^". 

JEav. — Tension in the region of the right ear and the corresponding 
cervical muscles (after two hours and a half),*. — Right arm painful ; sen- 
sitive to pressure ; lancinations from the slioulder towards the bend of the 
elbow,*'*". — -[500.] Tearing in the region of the right ear, after dinner,*. — 
A fine stitch extending into the lobule of the right ear (after one hour),*. — 
Boring in the right ear, after dinner,*. — ^Transient pains withiu the left ear 
and in the meatus auditorius,". — Tearing deep in the right ear (after half 
an hour),*. — Tearing deep in the left ear (after two hours and a half),*. — 
Sticking tearing within the right ear, whence it extends to the concha (after 
three-quarters of an hour),*. — Sticking in the right ear, while standing, in 
the forenoon,*. — Scratching in the right ear, as from a spear of grain (after 
a quarter of an hour),*. — Hearing. Great sensitiveness to slight noise,""- 
— [510.] Hearing, which for some time has been entirely lost in the right 
ear, is to-day duller than usual,*'". — Difficult hearing and numbness,™. — 
Dulness of hearing since exposure to cold,'™. — Very hard of hearing, espe- 
cially on the right side,''". — Frequent, sudden, transient diminution of hear- 
ing, in the evening,*. — Impaired hearing in right ear,*"^ — Hearing much 
diminished on the left side,^^l— Weakness of hearing,*"" *™. — Difficulty of 
hearing,*^'. — Hardness of hearing in right ear,*''. — [520,] Hard of hearing in 
the left side,**". — Partial deafness,'"*. — Deafness of right ear,**'. — Deafness, 
especially of the right ear, worse at times,*". — Vanishing of hearing,'*". — 
Almost constant roaring in the meatus auditorius,'"*. — Roaring in the left 
ear,**"''*. — Roaring in right ear; seldom in the left,**". — Roaring in the 



24 PLUMBUM. 

ears, returning every evening, and causing slight deafness,"*. — Roaring in 
the ears (second day),"* "'*'■'. — [530.] Whizzing and humming in the ears 
(second day),™. — Ringing in the ears,*'^ 

Nose. — Objective. Erysipelatous inflammation of the nose,". — Sneez- 
ing (after seven hours),*. — Constant irritation and ineffectual sneezing 
(after three-quarters of an hour),*. — Hsemorrhage from the nose during the 
convulsions,*''. — Habitual and profuse epistaxis,^". — Nosebleed with the 
second attack of spitting blood,*'''. — Frequent bleeding of the nose,^'. — 
[540.] Frequent copious epistaxis,''^ — Oozing of blood from the nostrils 
(fourth day),'*". — Fluent coryza, with watery mucus, soon disappearing 
(after three-quarters of an hour),*. — Fluent coryza without sneezing (third 
and fourth days),^ — Fluent coryza, in the afternoon, lasting an hour,*. — 
Water runs from the nose, during dinner,*. — Much tenacious mucus in 
the nose, that he, however, cannot blow out, is only able to draw it back- 
ward through the posterior nares, where most of it seems to be accumu- 
lated (second day),'. — Mucous membrane of the nose dry,°'°. — Subjec- 
tive. Stoppage of the nose,^ *'". — Sensation of stoppage in the nose, she is 
unable to blow it (third day),*. — [550.] Pain in the tip of the nose,l — 
Sharp drawing pain in the right ala of the nose, and in the upper lip,'°^ — 
Painful tearing in' the septum of the nose in the right side (after five 
hours),*. — Itching of the left nostril, relieved by scratching, in the after- 
noon,*. — Smell. Very bad odor from the right nostril, much less from 
the left,*"'. — Horrible smell,'*.! — Sense of smell almost lost in the right 
nostril ; less diminished in the left,*'". — Loss of smell,"^ 

Face. — Countenance wild-looking,'*". — Frequent sardonic smiling,'™. — 
[560.] Look confused,'". — During the colicky attacks, the face was expres- 
sive of the utmost anxiety,™. — Most anxious countenance (after five 
hours),'"'. — *Face expressive of extreme anxiety and suffering ^"'^. — Counte- 
nance anxious and sunken, frequently of a peculiar livid hue,"". — Peculiar 
anxious and distressed countenance,™'. — Face haggard, skin yellow, scle- 
rotic coat of a yellowish tmge,^''''.—*Anxioxis expression,''^ '" '*", etc. — Mel- 
ancholy expression ; he seems aware of his situation-, and to be silently im- 
ploring pity,"*. — Expression sad and melancholic,"". — [570.] Languid look 
and woe-begone countenance,"*. — He has a heavy stupid aspeet,'*^ — The 
face has a very stupid expression,'*' "°. — Expression of the face quite pecu- 
liar, almost stupid,'*'. — Astonished, stupid look; patient appears as if ec- 
static ; risus sardouicus ; the patient has a sad, melancholy look, and weeps. 
Patient gives no satisfactory answer as to the state of his expression,'"*. — 
Face stupid,*"". — Expression rather dull,"". — Aspect vacant and stupid,'™. 
— Expression of face and eyes decidedly dull,'"". — The expression was of 
dull, heavy, unremitting pain,**". — [580.] Countenance' expressive of pain,"*. 
— Countenance entirely changed, and expressive only of extreme pain, 
which even prevents him from answering when spoken to ; the application 
to his abdomen of a vessel of hot water is scarcely felt,'". — The whole ex- 
pression of the child was that of one suffering from pressure upon the 
brain,*". — Features almost immovable, except during the paroxysms of 
colic, when they express the most acute suffering,'*'. — Features almost en- 
tirely immovable,'*'. — Features perceptibly sunken,'". — During the par- 
oxysms the face is shrunken ; he lies on his belly crying out sometimes,"*. 

f Effect of large doses. 



PLUMBUM. 25 

— During the paroxysms the face is a little shrunken, and he is somewhat 
restless in bed,™. — Countenance shrunken and distorted,'™. — Face sunken 
(after a few hours),"' ™— [590.] Countenance fallen,™.— Expression of 
face extremely altered,"'. — Face pinched and distorted, during the parox- 
ysm,"^ — Face wrinkled,^'". — His face horribly contracted, was expressive 
of extreme agony,'". — Features somewhat contracted,''". — Features strongly 
contracted,"'. — Contracted features (tenth day'),*"'. — The left side of the 
face is fixed and devoid of expression,^"'. — Features drawn,"**. — [600.] 
Features fixed,™. — Eather astonished expression of face,"'. — The features 
are sharp and pinched,'"". — Fatigued expression of countenance,'*'. — Ex- 
pression of suffering, idiotic,*". — Long, shrivelled face,"". — Pasty, lustreless 
look about the face,***. — Countenance haggard,^'*. — Peculiar and indescrib- 
able expression of countenance,'". — Face red (after four hours),"*. — [610.] 
Face red, with a slight shade of yellow,"". — Countenance florid, warm, and 
moist,". — Face somewhat flushed ,'*''.^Face slightly red, with a tinge of 
dingy yellow,"'^ — Flushed dusky countenance (two very dark),'". — Face, 
usually pale, is this evening rather flushed ; she has some fever ; skin hot ; 
pulse 98,™. — Face red and turgid,^*^ — Face turgid, with violent pulsating 
in the carotids (apparently the results of violent efforts to vomit), (after 
a quarter of an hour),'". — Face dusky,"". — Livid complexion,^'* '*". — [620.] 
Dingy lead-colored skin of the face and body,"'. — Face meagre, livid, 
wrinkled ; he looks prematurely old,'*'. — Livid skin of the face, lips, gums, 
and even of the whole body,". — Slight, livid yellowness of face,''". — Com- 
plexion gallow,"' '** '" *"". — -He was of a sallow unhealthy aspect,*™. — Sal- 
low pale face,*****'. — Sallow haggard countenance,*-'". — Sallow and cachectic- 
looking,'*'. — All have sallow complexions and discolored sderoiics,^^'^. — [630.] 
Face of a well-marked dirty -yellow color,"*. — Face of a dirty-gray color,'*'. 
— Very decided livid yellowness of the face and conjunctiva,"'. — Very 
decided dirty-yellow complexion,"*' '"". — Face of a decided ashen-yellow 
color,"" '^*. — Marked dingy yellowness of the skin of the face,'"'. — Skin of 
face and body of a decided dingy-yellow ; face all wrinkled,"*. — Deep- 
yellow cachectic complexion,*". — Face livid-yellow,'*'. — Face livid-yellow, 
and somewhat emaciated,'**. — [640.] Face of a decided yellow hue, and 
expressive of pain and anxiety, especially shown by violent spasmodic con- 
tractions of the features, when the colic paroxysms are coming on,"*s — 
Complexion decidedly grayish-yellow,'". — Complexion yellow,""""'*'*. — 
Yellownessof face and eyes,"". — Complexionlikeyellow wax,"".— Yellowish, 
cachectic-looking complexion,*". — Becomes yellow principally at night,*". 
— Face spotted with yellow,***. — Face yellowish-gray, somewhat pufiy,*"*. — 
Face yellow, and somewhat contracted,"". — [650.] Dingy yellow complex- 
ion,'"""""* '*". — Coniplexion a little tinged with dingy yellow,"". — Dingy 
yellow hue of the face and body,""'*" '"""".— Blight dingy-yellow color of 
the face and body,'""". — Dirty gray-yellow complexion,"*'". — Grayish- 
yellow complexion,'"". — Lemon-colored complexion,'". — Face rather yel- 
lowish,"". — Complexion dull yellow,*'*. — Face of a very light ashen-yellow 
hue,'".— [660.] Face pale yellow,"".— Complexion a little yellow,''* '"".— 
Complexion somewhat tinged with dingy-yellow, as also the surface of the 
body, in a less degree,"". — Complexion dull and yellowish,'". — Cachectic 
complexion,*""*""*"*"'. — Face pale and eyes sunken, immediately,"". — Most 
of the girls lost the color of health from their faces ; they became pale, 
puffy, and dark under the eyes,"*. — Face pale, ansemic,**". — Pale cachectic 
face, with dry lips with sordes, pale mucous membranes,***. — Patient looks 
pale, emaciated,'"' *"'. — [670.] Face pale, icteric,*™. — Face pale and cachec- 



26 PLUMBUM. 

tic-looking,™'™. — The face is pale and sallow,'°^ — Face pale, with an ex- 
pression of great anxiety (first day),"^*. — Pale dirty-white complexion, and 
the physiognomy peculiarly marked,™*. — Face very pale,'". — Face of a 
decidedly pale color,^'.— Pale face,'' ^^ ''* '" *«'.— Face pale and piiffy,^lt— 
Looks very pale (first days),^ — [680.] Looks like a corpse,*". — He looks 
pale and cachectic,*^- — His countenance was pale and sunken, his expression 
melancholic,™". — Great pallor of the countenance,''l — Unusual pallor,"". — 
Countenance blanched but not sallow,'''^". — Pale sallow complexion,'"^ — ■ 
Pale, cachectic-looking,"'. — Face pale, livid, and sunken,^**. — Face pale and 
rather anxious,'*'. — [690.] Face pale or yellowish,". — Face pale or some- 
what yellow,"". — Face pale and yellowish,'*' °'*. — Face pale, somewhat yel- 
lowish,"". — Face pale and slightly yellow, meagre, and livid,'"'. — Face 
rather pale and yellow,"'. — ^Face yellowish-white,*"". — Face pale, covered 
with sweat,'**. — -His face, pale and wan, was marked by the deepest despair, 
from extreme suffering,"*. — Face pale and distorted from the severity of 
the pain," — [700.] Erysipelas appeared in a slight wound on the face re- 
ceived in falling in the epileptic fit, rapidly spread over the face and head, 
associated with nausea and vomiting, delirium, pulse only 52; tongue 
coated white ; violent headache ; violent stitches,"'. — Great swelling of the 
face, especially of the lids,'". — The face became very much swollen, espe- 
cially about the eyes and lids,'"*. — Swelling of the right half of the face, 
with very violent pains in the ear, especially on swallowing saliva,*'. — 
Qildematous swelling of the face,'"*. — QSdema of the face,'"'. — Face swollen 
and purple (fourth day),'*". — Face swollen (after one day),'*". — Bloated 
though anaemic countenance,"^ — Face especially emaciated, and wrinkled 
to such a degree as to impart an appearance of premature old age, and in 
some cases, a melancholy expression,"'. — [710,] Her face was thrown into 
active convulsions, so that it took her some seconds to get control enough 
to articulate a monosyllable,"'". — Face frequently affected with choreic con- 
vulsions,"*. — Has had quivering of the right side of the face from the first ; 
latterly the left side is becoming similarly affected. There seems to be no 
actual paralysis of the facial muscles, but the mouth is a little drawn to 
the right,*"". — -Face much drawn to the left side,*'". — Paralysis of the right 
side of the face,*". — Face contracted,*'". — Paresis of the facial nerve ; when 
talking all the muscles of the face twitch,***. — The pains in the face and 
head become so violent at times, as to extort loud screams,'"*. — Sensibility 
of the face considerably diminished, especially in the right side,*"'. — Con- 
siderable diminution of sensibility on the face and neck, so that it is hard 
to find out which side is most affected,*'*. — -[720.] The whole right side of 
the face is devoid of sensibility in quite a marked degree, as respects simple 
contact, changes of temperature, and especially pain,*". — Slight degree of 
anaesthesia on the left side of the face,*". — Slight hypalgesia of the right 
side of the face,*'". — Lancinations in both sides of the face, increased by 
movement, but not by pressure. The pain is worse in the cheeks than 
anywhere else ; is not felt in the nostrils, eyes, tongue or teeth, but extends 
into the ear,'"*. — Cheeks. The cheeks are somewhat flushed and covered 
with sweat,'". — Cheeks sunken,*". — A stitch in the right malar bone (after 
six hours),*. — Slight ansesthesia of the left cheek,*'*. — Slight diminution of 
sensibility in right side of face,**". — Two tearings in the right upper jaw 
(after three-quarters of an hour),*. — Lips. [730.] Frequently moves his 
lips, as if smoking a pipe,"""'. — The hair falls from the mustache,". — Lips 

t In a, woman, from using sugar of lead for hssmoptysis. 



PLUMBUM. 27 

cyanotic,*"'. — Dry and fissured lips,'". — Lips and tongue blanched (eigh- 
teenth day),'". — Lips, teeth, and tongue covered with thiclc fissured scabs,'". 
— Desquamation of the lips every day without pain, indeed with unusual 
dryness,'. — Lips covered with thin, brown scabs,'". — Sharp drawing in the 
flesh of the upper lip beneath the right wing of the nose (first day),l — 
Trismus,''^ — Chin, [740.] Violent loud moveinentof the lower javv, with 
frightful grating of the teeth,'^— Boring in the left side of the lower jaw 
and in three corresponding teeth (after one hour and a half),*. — Boring in 
the right angle of the lower jaw, lasting a long time (after one hour and a 
half),*. — Frequent violent tearing in the lower jaw, near the chin, and in 
the corresponding tooth (after one hour and a quarter),*. — Tearing in the 
right side of the lower javv near the chin ; after rubbing, it extends into 
the right lower ribs, where it disappears of itself; it then returns in the 
former place and in the corresponding teeth ; afterwards deep breathing 
causes a sticking below the right scapula, and when this ceases, a stitch in 
the upper part of the right scapula (after two hours),*. — Tearing in the 
left side of the lower jaw extending upwards towards the left ear (after a 
quarter of an hour), disappearing on rubbing ; while rubbing feels a beat- 
ing in the left side of the occiput, that lasts a long time,*. — Tearing in the 
lower jaw and lower teeth, not relieved by rubbing,*. — Sticking and tearing 
in the right side of the lower jaw (after one hour and a half),*. — Contrac- 
tions of the jaws (first day),'-"*. 

Mouth. — Teeth. Violent grating of the teeth at night, with frequent 
waking (first day),l — [750.] Grinding of the teeth,'''.— Hard chattering 
of the teeth, as in violent ague,""'. — Usually, incases of saturnine discolor- 
ation of the gums, the teeth are dark brown at their bases or necks, while 
their edges are of a lighter brown, with a shade of yellow or green. This 
appearance should not be mistaken for the ordinary deposit of tartar. The 
incisors and canines are most liable to this discoloration, but it may occur 
on all the teeth, though they are seldom affected in an equal degree. When 
the process of gingival absorption has resulted in a loss of substance, the 
discoloration of the teeth becomes more decided. The teeth thus affected 
finally deteriorate ; they become brittle, break off, decay, and fall out long 
before the usual time. The coloring matter adheres firmly to the osseous 
substance of the teeth, with which it appears to combine, so as to be de- 
tached with difficulty, as is the case also with that of the gums,'". — In gen- 
eral, when the blueness of the gums is very decided, the discoloration of 
the teeth is also strongly marked, and vice versa,™. — The discoloration of the 
teeth and buccal mucous membrane, by contact with lead molecules, may 
take place in five or six days, or after months or even years of exposure, 
the time varying in different classes of workmen,'". — Teeth in a very bad 
condition, all brown, and most of them broken,"". — Characteristic saturnine 
discoloration of the teeth and gums,"'. — Teeth and gums discolored,'". — 
Most of the teeth destroyed, blackish ; deep, slate-colored border on the 
gums ; oxygenated water caused a whitish track of sulphate of lead,""". — 
Teeth and gums black,'". — [760.] Teeth black with the lead line on the 
gums,*"*.— Teeth black,"'"""', etc.— Teeth black at their necks,'".— All the 
teeth black, especially the incisors and canines,"''^ — iTeeth black ; partly 
destroyed,"'*. — Teeth black, and mostly destroyed,""^ — Teeth all black ; gums 
blue next to the -teeth,""". — Black teeth ; gums slate-colored,'"". — Teeth of 
a strongly-marked yellowish-black,""'.— Teeth brown,"' ""' "'* **' '"".-[770.] 
Teeth brown at the base, yellow at the tip,"". — Teeth greenish-brown, es- 
pecially on their necks,'"". — Teeth and gums bluish-gray,"". — Teeth dark- 



28 PLUMBUM. 

brown,™'. — Teeth dirty-gray,^'^ '"". — ^ Yellowish color of the teeth was quite 
apparent,'"'\ — The teeth become covered with yellowish mucus,*'. — Yellow- 
ish coating at root of teeth, and slate-colored- border round several,'''''\ — 
Teeth and gums covered with sulphate of lead,™. — Teeth covered with sordes 
(eighteenth day),"'. — [780.] The teeth were covered with a dark incrusta- 
tion,"". — Large accumulation of tartar,'^^ — Teeth partly laid bare; black- 
ish and somewhat decayed (they were sound previous to exposure),*". — 
Teeth laid bare,*" *™.— Teeth mostly destroyed,"".— Most of the teeth de- 
cayed or destroyed, blackish,"*. — The teeth partially destroyed are brown 
at their bases and yellow at their summits,"^ — Teeth decayed,*". — Their 
teeth are usually carious in the extreme,*^"*. — Carious teeth ; teeth break 
easily,^"". — [790. j Teeth much decayed and loose; the edges of his gums 
are red and raw and ragged, and frequently bleed, and there is a slight 
blue line,*". — After working three weeks, obliged to quit on account of a 
curious affection of the mouth. His teeth became loose, and there were 
small abscesses on the right gums,^™- — The teeth become loose,'. — The teeth 
fall out,'". — A tooth becomes hollow, has an offensive odor, and breaks off;' 
the side which was thickest had become very brittle,^ — Toothache in the 
sound teeth, as after eating sour fruit,'". — Tearing in two right lower back 
teeth (after two hours and a half),*. — Jerking pain in the right lower back 
teeth, in the morning, aggravated by cold (third day),*. — Gums. The 
first and most frequent indication of the presence of lead in the system, is 
a peculiar discoloration of the gums and teeth. The gums bordering on the 
teeth, to the depth of one or two lines, are usually blue or slate-colored, 
their remaining portion being of a very light bluish-red, passing gradually 
into the natural hue of the buccal mucous membrane. Sometimes the dis- 
coloration spreads all over the gums, or even over the entire buccal mucous 
membrane. In a good many cases only the gums immediately bordering 
on the teeth become slate-colored, in strong contrast with the natural ap- 
pearances of their remaining portion. They at first assume a violet-red 
tinge, becoming decidedly slate-colored, sooner or later,^". — The discolored 
portion of the gums quite often becomes considerably thinner, sometimes 
as thin as a sheet of note-paper ; or else, as more frequently occurs, it dwin- 
dles in superficial extent. In the latter case the interdental partitions 
gradually disappear, and the concavity of the gums is increased, in conse- 
quence of molecular absorption, which takes place within the substance of 
their tissue, without visible solution of continuity. When this process of 
absorption is complete, the teeth are stripped of a portion of their gums, and 
are laid bare. The gums thus form, quite frequently, only a more or less 
projecting pad, sometimes marked by vertical incisions. This change in 
the nutrition of the gums always follows upon their discoloration. The 
latter, however, often disappears, in proportion to the shrinking of the gums 
from interstitial absorption, so that what is left of them is only slightly 
tinged with blue. Usually the discoloration and loss of substance do not 
take place in both alveolar borders to the same extent. The twofold change 
is generally most marked in their anterior portion. The lower gums are apt 
to show rather more of it than the upper ; and it sometimes happens that 
the gums of only two or three teeth are thus affected,"'. — [800.] The above 
described discoloration of the gums and teeth we have never observed, ex- 
cept in those \yhose buccal mucous membrane has been brought in contact 
with lead particles. We have examined the mouths of seven hundred and 
eighty-five persons who had not worked in lead compounds, or ingested them 
in any way, and in not one of them could we discover the least trace of 



PLUMBUM. 29 

the specific discoloration produced by sulphate of lead,'". — The peculiar 
blue line on the gums, the edge of the gum where it is attached to the 
neck of the teeth, was fringed with a very distinct blue line, about one- 
twentieth of an inch in width, so that three or four of the molar teeth on 
each side in the upper jaw were thus half surrounded towards the roof of 
the mouth with a blue cresc.ent,^'". — The fatal line was more or less present 
in the gums of all ; in two cases a slate-colored line was well defined, and 
in one of these the mucous membrane of the mouth was strewed with spots 
of the same color,^"". — Gmu.s Wrte,""'" ™ ™, etc. — Distinct blue line along 
the margins of the gums,'^" ''"'' ^'^ ^*^, etc. — Dark-blue line on the gums,'"° 
337 369 558_ — 'pjjg gjjpQg bordenDg on the teeth exhibit a narrow and a well-de- 
fined grayish-blue line,"". — Distinct blue line along the edge of the gums, 
and a blackish stain on the teeth,^™. — Blue Hue at the junction of the gums 
with the teeth,"". — Distinct blue line along the lower border of the gums 
of the upper incisors,''^''. — [810.] Gums, with the exception of a slight red- 
dish-blue discoloration beneath the left lower canine tooth, were natural ; 
later the bluish line extended beneath all the lower incisors and canine 
teeth,"^ — A blue line on the margin of the gums was always present, which 
varied in depth, in some cases involving the gum to the extent of one-eighth 
of an inch, in others being a mere trace, most observable opposite the bi- 
cuspid teeth,"^ — ^Gums show a very remai'kable blue line, with the inter- 
dental processes much shrunken,^*". — Blue line along the alveolar border,''^' 
— There was a distinct dark-blue line on the edges of the gums about the 
upper incisor teeth, none elsewhere,*"*. — A distinct blue line along the mar- 
gin of the lower gum,''*. — A very distinct blue line, especially on the upper 
teeth, which were greatly decayed,*"'. — Distinct blue line on the gums and 
around the incisor teeth of both upper and lower jaws,''". — ^Dark-blue line 
around the teeth and gums, both of the upper and lower jaws,'"°. — Gums 
where they run up between the teeth, bluish, but no distinct line (after 
treatment),'^*' ^'^. — [820.] Blue line around gums of upper and lower incisor 
teeth,"*. — The gums are blue over one-fourth of their surface,™'. — Blue 
blotches or lines on the surface of the buccal mucous membrane,™". — Blue 
rings along the gums, with accumulation of tartar at the base of the teeth,^". 
— Gums covered with a blue tinge,^^l^Ashy-gray margin of the gums,'". — 
Gums bordered with slate-colored rings ; teeth laid bare,*"". — Slate-colored 
gums, and teeth laid bare,*"'. — Gums slate-colored almost all over, and 
bleeding at the slightest contact,"*. — Gums slate-colored over the greater 
part of their surface,^'". — [830.] The portion of the gums bordering the 
teeth, to the depth of two or three lines, is of a beautiful slate color,™". — 
Slate-colored line on the gum, and similar bluish spots in the mucous mem- 
brane of the mouth,™. — Gum dirty brownish-gray,"". — Gums slate-colored,"'. 
— Gums -bordering on teeth slate-eolored,'^'"'''"'^''*. — Lead line on the guras; 
teeth laid bare,*'" *".— Lead line on the gums, they are bluish and flabby ,'*"- 
— Well-marked lead line on the gums, which are bluish and bloodless,"'^ — 
Not all who breathe or swallow lead particles, for a certain length of time, 
have their teeth and gums coated with sulphate of lead ; but I have met 
with very few in whom it was not perceptible,'". — The coloring matter of 
the gums and teeth consist of sulphide of lead,'^^\ — [840.] Gums and teeth 
covered with sulphate of lead,"" "' '"^ "". — The gum exhibited a bluish-gray 
color,"'. — Discolored gums,'". — ^Gums generally pale and spongy,"'. — Gums 
tense and very white (fourth day),^*". — Gum pale,*. — The buccal mucous 
membrane may present different degrees of discoloration in different cases, 
or may, in the same case, be colored in various shades of blue,'". — Upper 



so PLUMBUM. 

gums rather discolored/™. — Gums scarcely at all discolored/^'. — Gums soft- 
ened/'*". — [850,] Gums spongy and tender, and between the teeth slight 
elevations of a leaden hue/^'. — The gums were very spongy, and edged 
with a deep blue line,^*l — Gums soft and swollen, with a dark-colored line 
on the edges in contact with the front teeth (tenth day),^. — Gum loose, 
swollen,™. — Swelling of the gum at the roots of the teeth,*'. — Gum loose, 
retracted,"^ — Gums discolored and shrunken, leaving the teeth bare to 
their necks,*". — Gums retracted from the teeth, covered with tenacious 
mucus,^'". — Gums blue; those of the lower jaw have retreated from the 
teeth ; the partitions between the teeth have partly disappeared, so that the 
gums form a mere projecting pad, they look as if cut vertically, but there 
is no ulceration,™. — Gums tender,". — [860.] Inflammation of gums,'^^ ^\ — 
Occasional congestion of the gums ; they bleed when touched,™". — Conges- 
tion of the discolored gums; they bleed at the slightest touch,^"^ — Ulcera- 
tion of the superior alveolar border of the gums of both jaws, with discolor- 
ation of almost the entire buccal mucous membrane,™'. — Pimple on the 
gum, that was very painful and hard,*'. — Tongue. Some sudden burning 
pimples on the tip of the tongue, that are especially painful on talking, 
from 6 to 10 p.m. (first day),*. — Blisters on the frsenum of the tongue"*. — 
End of tongue covered with many small bluish-black spots like small 
ecchymoses; the upper surface of the tongue was covered with a number 
of large ulcers, somewhat like mercurial ulcers ; associated with painful- 
ness of the tongue and lips, and oflTensive salivation,"'. — Inflammation of 
the tongue,**. — Tongue occasionally swollen, red, dry, and large,^". — [870.] 
Tongue clean, red, and enlarged/". — Tongue flat and broad,"'. — Tongue 
clean, but expanded,™. — Tongue large and rather yellow,™. — The tongue 
trembles, without being paralyzed,"". — Trembling of the tongue,*"***. — 
Trembling of the tongue when protruded,'^*'. — Tongue and lower lip tremu- 
lous,"". — When he tries to articulate, the tongue is readily seen to move with 
difficulty, and to tremble,"*. — Tongue pale and tremulously protruded, with 
slight yellowish coating in the centre,*". — [880.] Some trembling of the 
tongue when protruded,*"'. — Slight tremor of the tongue, but articulation is 
perfect,''^'. — Tongue drawn quite forcibly to the left side, and folded in the 
same direction,"". — * Cannot put out his tongue,^'". — Tongue and other parts of 
the body became partially pahied,''\ — Tongue flabby, tremulous, edges red, in- 
dented, a brownish fur down the centre, speckled with enlarged redpapillse,"". 
— Tongue flabby,^"'. — Tongue large, soft, red, rather dry,^'\ — Tongue clean, 
pointed, red on the border (after four hours),'"^. — Tongue covered with frothy 
saliva (second day)/. — [890.] Tongue covered with mucus,"^ — Tongue and 
gums thickly coated,^''. — Tongue thickly coated,"' ^^. — Tongue dry and 
coated,'"'.— roH(/Me furred,''' '" "" "*'.— Tongue foul/" ^".—Tongue lightly 
coated, ^'l — Tongue pale,'*'. — Tongue slightly furred,^'". — Tongue coated 
■white,*' '" '"' ™', etc. — [900.] Tongue blanched, covered with a white coat, 
red at the margin and tip, slightly swollen,™. — Whitish, thick tongue,'". — 
Large white tongue/'" '^'. — Tongue white and red ; rather enlarged,"*. — 
Tongue whitish, thick, and rather dry,'". — Tongue clean and rather white,"". 
— Tongue dry and covered with a dense white fur,™. — Tongue dry and 
white,*'" *" *™ *".— White, clean tongue,'".— Tongue moist, white, the margin 
rosy red,"'. — [910.] Whitish, very large, moist tongue,"". — Whitish, moist 
tongue,''" '"« "' ''".—Moist tongue, white in the middle and red on the 
sides,"" "*\ — Tongue large, thick, and covered with a thin white coating,"". 
— Tongue furred and white,".— Tongue white and loaded,". — Tongue white 
in middle, and red on the sides,"". — Tongue somewhat dry and whitish,"* '^" 
*'".— Tongue moist and rather white,'" "'.—Tongue slightly whitish,'*' *".— 



PLUMBUM. 31 

[920.] Tongue moist, with white fur/™. — A brownish white fur on tongue,^"'. 
— A white furred tongue/'". — Tongue yellowish-white, but moist,"'. — The 
tongue, covered with a yellowish-white coat about the base, was otherwise 
clean, and partly paralyzed on the right side, impeding the promptness 
and clearness of his utterance,'^". — Tongue slightly coated white (after 
treatment),^". — Red tongue,""™. — Tongue clean and rather red (after one 
year),^"'. — Tongue dry and red (second day),''*'. — * Tongue red at the edge, 
a brown fur down the centre^"^. — [930.] * Margin of the tongue red (after four 
hours),*". — Dry, red tongue, rather pale and moist at the edges,™. — Tongue 
extremely red (after eleven hours),™. — Tongue red, moist,™. — Tongue red, 
and somewhat coated with white,"''. — -Tongue red on the sides, and slightly 
whitish in the middle,"''. — Tongue moist, large, and red, with a whitish 
coat,"'\ — Tongue red on the sides, white in the middle,'"*. — Tongue large 
and red,"". — Red pointed tongue (second day),'™. — [940.] Tongue red and 
moist, rather white in the middle,'''^ — Tongue red, dry, and enlarged, but 
papillce not prominent,^'*. — Tongue red and rather white on the sides,™. — 
Tongue red and moist,™^-^Tongue coated yellow or white,'""*. — Tongue 
furred, the mucus on its posterior part very yellow,*^. — Tongue furred, 
dirty yellow,''*''. — Tongue coated yellow,^'". — Thick yellow coating on the 
tongue,'^l — Tongue covered with a thick, partly dry, yellowish-white 
saburral coating ; its borders red and rough, with projecting papillae,''"'. — 
[950.] Tongue coated with a thick light-yellow crust,'"''. — Tongue' enlarged, 
and covered with a rather thick yellow coating,'™. — Tongue coated, dirty 
yellow, flabby, and indented,''". — Tongue dry, and covered with yellow 
fur,''".— Tongue coated greenish and yellow,*". — Tongue moist, and slightly 
coated on its posterior part, with a yellowish fur,'™. — Nasty and thick coat- 
ing of mucus on the tongue,'".! — Large tongue, covered with a pretty 
thick saburral coating,™". — Tongue large and red, with a slight saburral 
coating in the middle,'". — Bluish line on the margin of the tongue,'". — 
[960.] Tongue covered with a slight brown fur,"'. — Tongue coated in the 
centre with a brown fur,"". — Tongue ^coated with a thin, moist, whitish- 
brown fur, clearing off towards tip and edges,^'". — Tongue coated with a 
thick brownish-yellow fur,"*". — Tongue quite brownish,*". — Tongue covered 
with a black crust (second day),"'^— Tongue dry, brown, and cracked,'". — ■ 
Tongue dry, with a dark streak in the centre,'*'. — Tongue clammy, "°°. — ■ 
Tongue and fauces dry (tenth day),'"". — [970.] Tongue clean, somewhat 
dry,"'. — Dryness of the tonguej'^ "" '"" *"'. — Heaviness of the tongue,*''. — Burn- 
ing in the tip of the tongue, as though he had bitten it, transient, about 2 
P.M.,*. — Loss of sensibility in the right side of the tongue,*"". — General 
3Iouth. Mouth drawn aside,"'. — Tetanic closure of the mouth,".— Ulcers 
in the mouth, especially on the sides, with an offensive odor ; they after- 
wards became yellow,*". — Cannot eat or drink anything on account of three 
ulcers in the mouth, two on the under side of the tongue, and one on the 
inside of the cheek ; cold drinks almost set him crazy ; he swallows hot 
drinks best; the ulcers were of a perforating character, and had eaten into 
the tongue to the depth of four or five lines ; rapidly healed by direct ap- 
plication of Alum,*'". — ^Aphthse in the mouth and throat,*'.^[980.] Occa- 
sional discharge of wind from the mouth,''"'. — Swelling of the glands in the 
mouth and beneath the chin,*". — Redness, tenderness, and ultimately a deep 
soreness of nearly the whole mouth and fauces; almost every sort of food, 
except the mildest kind, such as rice, gave me pain, both by its presence 

f Effects of large closes. 



32 PLUMBUM. 

in the moutli, and by the heat and smarting it occasioned,'°^ — The whole 
mucous membrane of mouth and tongue slate-colored, with a few scat- 
tered, scarcely visible red points,™*. — Where carious teeth existed the 
interior of the mouth and fauces blackened by the action of sulphate 
of lead,^"'. — The raucous membrane of the lips and throat was pale, and the 
gums discolored,'"". — Mucous membrane of the mouth without color,■'°^ — 
Mucous membrane of the lips pale,'"^ — Mucous membrane of the mouth 
pale,'"". — Mouth slimy,'^ — [990,] Mouth slimy in the morning, on waking 
(second day),l — Clammy mouth,™ ^'^ — Breath at times very fetid,*"". — 
Strong fetor in breath,*'^ ^'^ ^mm^ — Peculiar {saturnine) fetor of the breath,'^°»- 
— Fetor of breath so great that a fellow-servant, who slept in the same 
room, could scarcely endure it,**^ — Breath fetid,"^ "" "^, etc. — Breath ex- 
tremely offensive ; he is himself aware of it,^". — Offensive metallic odor of 
breath,™.— Foul breath from the mouth,"*"".— [1000.] Peculiarly offen- 
sive and nauseating smell of the breath,*"'*. — Offensive odor in the mouth, 
from the hollow teeth, while eating (second day),'. — Breath had a peculiar 
smell so often noticed in patients suffering from malignant disease of the 
stomach (eighteenth day),*'". — The breath has usually a characteristic odor. 
Its offensiveness is indescribable ; it can only be called a saturnine breath,™. 
— My mouth was usually more dry in the morning than at evening, though 
the thirst was rather less,™. — *The mouth and nostrils are dry,'"". — "^Dry- 
ness of the ■mouth,' ^' ^« *" ^™ '■'" ■''' ^' "^— * Great dryness of the ?no«^/i,™.— There 
was for four or five days an almost constant feeling of constriction of the 
mouth, especially of the lips, which I was prompted frequently, and, as it 
were, involuntarily, to extend,"". — Burning pain in mouth, throat, and 
stomach (soon),"™. — -[1010,] Heat and burning in the mouth and tongue 
(fourth morning),*. — Mouth and lips are dry,'''". — Saliva. Excessive sali- 
vation ; the saliva dropping from the mouth, immediately relieved by Mer- 
curius sol.,*''". — Profuse secretion of mucus in the mouth,"''*. — The saliva is 
not usually increased; as some subjects say that their mouths are dry, it would 
seem that in certain cases the amount of this secretion is abnormally dimin- 
ished,'". — Sometimes there was a temporary salivation and a slight (if I 
mistake not) metallic taste,'™. — Secretion of saliva diminished,*". — Bluish, 
sweet saliva,''^"!' — Much sweetish, slimy-tasting saliva collects in the fore- 
part of the mouth, with dryness at the root of the palate posteriorly and 
in the fauces, disappearing on swallowing saliva (first day),". — Bloody sputa 
(third day),"™.— [1020.] Sputa lumpy, bloody (second day),"".— Spitting 
of blood,"'^— Saliva alkaline,'™ *''".—Froth in the mo\xth,'\— Taste. Sense 
of taste very much diminished,*"'. — Sense of taste much diminished, es- 
pecially in the right half of the tongue,*^^ — His sense of taste was per- 
verted, so that he no longer recognized ordinary articles of food,*"'. — Taste 
perverted,"^ — The workmen, whose gums and teeth show any considerable 
amount of the sulphate of lead deposit, often complain of a peculiar taste. 
This is described by most of them as saccharine, styptic, astringent, i. e., 
exactly like that caused by holding a preparation of lead in the mouth. 
Others says that it is both offensive and styptic,'". — Sweetish taste in the 
mouth, with dryness,"".- [1030.] *Sweetish taste," " '™, etc.— Styptic taste 
(second day),'"".— Horrible taste in her mouth,**".— Taste astringent (second 
day),™.— Bad taste in the mouth,*'^" *"" *'* *'* *"'.— Bad taste in the mouth, a 
sort of bitterness, especially at night,*'^— Nauseous taste,''".— Disagreeable 
taste in the mouth,"'''* "*'.— Sweetish, sour taste in the mouth, which is a con- 



■|- JProm large doses. 



PLUMBUM. 33 

stant armoyance,^^.— Metallio teie,""""'^^ **^ — [1040.] Disagreeable me- 
tallic taste,"'. — Taste pasty,™. — Coppery taste iu the mouth, when she first 
awoke, in the morning,^''^ — Dry and bitter mouth,'''". — Peculiar taste in 
mouthj^^l — Bitter teie,*" "' ™, etc. — Bitter taste in the mouth, every morn- 
ing,''^'".— Decidedly bitter taste,'"" "'.—Constant bitter taste,"\— Taste flat,''^ 
— [1050,] Acrid taste in mouth and throat,'". — Speech. The utterance 
was panting and puffing, as in diaphragmatic pleurisy,"'. — Speech is slow,™. 
— Speech is dragging and slow,*". — Speech hindered,". — Difficulty in speak- 
ing,'™. — Speech difficult (with albuminuria),"^ — Speech slow and diffi- 
cult,". — Speech is hurried and abrupt,'™. — Speech hasty, can hardly be un- 
derstood,™. — [1060.] Articulation somewhat stammering,"". — Stammering, 
broken, shaky articulation,'". — Stammering,*". — Speech faltering and 
hesitating,"'. — * Articulation imperfect, often even incomplete; sometimes, on 
attempting to speak, he uttered only confused sounds, more or less intelli- 
gibly,"*. — His speech is rather impaired ; he cannot utter his words so freely 
as in health,""'. — Impeded utterance,""". — Difficulty of speech, showing 
itself in articulation, but the tongue was not drawn to one side,**'. — Speech 
faltered,''. — Words indistinctly pronounced,"". — [1070] Incoherent 
speech,'". — Speech almost inarticulate,'". — Tries to speak, but only mutters 
unintelligibly,"'^". — Some want of power of speech, two or three times, after 
a night attack,™". — Sudden loss of speech, with short, rapid respiration,''"*. 
— Inability to talk,^". 

Tliroat. — Hawking of sourish mucus (after half an hour),*. — Hawk- 
ing up of a sourish sputa,™". — Mucus is expectorated from the throat with 
easy hawking, it is frothy like saliva, transparent, lumpy, and in yellowish- 
green tenacious masses (first day),'. — Very tenacious mucus,*". — [1080.] 
Choking, when swallowing,^*'. — Choking sensation in throat (after one 
year),^"'. — Sensation of dryness in the throat, in the morning,*. — Dryness 
of throat (after five hours),'"'. — Roughness of the throat, with somewhat 
hoarse voice (fourth morning),*. — Rawness of the throat (after six hours),*. 
— Swollen sensation in the throat, that obliges frequent swallowing, and 
does not disappear (after two hours),*. — Swollen sensation in the throat, 
on swallowing, with retching (fourth day),*. — * Constriction of the throat,^^.'\ 
—* Constriction of the throat,'*'; (fifth and sixth days),*'*". — [1090.] 
The patient continued to suffer from constriction of the throat for three 
months after the poisoning, rendering deglutition difficult, associated with 
general muscular feebleness,''"'. — Spasmodic constriction of the throat,"'. — 
Sense of constriction about the throat and epigastrium,'"'. — * Violent con- 
striction of the throat,^. — Sensation as though the foreign body in the throat 
slipped downwards, afterwards tearing in the right scapula (after two hours 
and a half),*. — Sensation as of a foreign body in the right side of the 
throat, with a sulphurous odor; the sensation afterwards extended towards 
the ear and lasted a long time,*. — Sensation as if something in the throat 
moved suddenly up to the base of the skull and thence to the left orbital 
region, where it became a sticking; while smoking (first day),'. — Sensation 
of a foreign body in the throat that provokes sneezing, on swallowing it 
extends far down, but immediately returns, it often disappears for awhile 
of itself, lasting the whole forenoon ; it is not painful,*. — A small body 
frequently rose into the throat, which she thought she must swallow again, 
by paroxysms (after three-quarters of an hour),*. — Rising of a ball into 
the throat (globus hystericus),*". — [HOC] Pains in the throat,"'. — Retch- 

I From large closes. 

TOL. VIII. — 8 



34 PLUMBUM. 

ing in the throat (after two hours)/.— Heat in th^oat/'^— Offensive taste 
of lead in the throat (second day),^'^".— Sulphurous and sour taste low down 
in the thront,^.— Uvula and Tonsils. Uvula inflamed,'^ — * Tonsils 
inflamed and indurated^'^. — * Tonsils swollen,^^. — Dryness of the fauces/". — 
Fauces and Pharynx. Sense of heat and tickling in the fauces 
(second day)/l — [1110.] Pharyngeal muscles almost paralyzed/'. — Paral- 
ysis of the pharyngeal muscles, and inability to swallow food/If — Con- 
striction and cutting iu the pharyn.-s, extending as far down as the stomach, 
before and after eating,". — Frequent contraction of the pharynx,". — 
CEsoj>hagus and Stvallotving, Feels food descending into the 
oesophagus ' and reaching the stomach (tenth day),'™. — When the colic is 
coming on, drinking is difficult, owing to a sensation of constriction ex- 
tending from the epigastrium all along the oesophagus to the pharynx, 
-which prevents the barley-water from passing ; if he goes on trying to 
swallow, it is rejected almost immediately,"*. — Drawing sensation in the 
oesophagus, while eating, as if the oesophagus would be torn off (sixth 
day),^ — Sensation of crawling in the oesophagus,*". — Heat along the whole 
cesophagus.'l— Z)?i^cMft swallowing,'''''-""""'''.— [1120.-] Swallowing diffi- 
cult, at times almost impossible,"*. — External TJiroat. Throbbing in 
the carotids and also iu the crural arteries,*"'. — Left parotid gland swollen 
and painful ; skin hot and red. Eight parotid somewhat swollen,*'''^ — Sub- 
maxillary glands somewhat swollen and painful,*"". 

Stomach. — Appetite. Great appetite, in the evening (first day),'. — 
Sensation of violent hunger in the throat, extending down to the stomach, 
returning after eating (third day),^^ — ^Excessive hunger, he eats an unusual 
amount (after five days),^ — Great hunger ; eating a biscuit considerably 
aggravated the pains, and caused vomiting,''". — Great desire to eat bread 
and biscuits the whole time ; occurring even an hour after a meal, also late 
in the evening and early in the morning,'. — Sensation of hunger and nau- 
sea, in the evening before going to sleep (sixth day),^ — [1130.] Appetite 
generally craving,™. — Appetite indifferent,'*'. — Appetite poor,*"'^^'^ (after 
one year),''"'. — Appetite very poor,"". — *Diminished appetite (second day),* 
i3j 302 331 5i2_ — Appctitc much diminished,*'". — Loss of appetite before the 
colic,"* ^'^ — No appetite nor thirst,'"* '"". — Loss of appetite, for two months,™. 
—Loss of appetite and sleep,'".— [1140.] *Loss of appetite,'" '« '" " '' '" '" *" *«, 
etc. — Great loss of appetite, and even aversion to food,*"*. — Complete loss of 
appetite,"'^ *" *". — Almost complete anorexia ; perhaps some malacia,*'". — 
Anorexia,*'" ■"' "*, etc. — Prolonged anorexia,*™. — Anorexia before the colic,'". 
— Anorexia, with considerable sickness,". — Anorexia, without loathing,"" ''"'. 
— Complete anorexia,'"* ™ **^ — [1150,] Great relish for tobacco (first day),'. 
— Aversion to food,^ " " '^ *' "' "". — Thirst. * Thirst inextinguisliable (after 
one day),'"". — Distressing thirst and desire for cold water,'**. — Great thirst ; 
but liquids are returned, with much straining, as soon as taken,'". — Violent 
thirst,"" •"* "".— Very great thirst,''' '**.— Great thirst,'' *" "', etc.— Considerable 
thirst preceded the soreness of mouth, especially in the evening,'"*. — A little 
thirsty and feverish,'"'.— [1160.] Moderate thirst,"* "°» '"*, etc.— Thirst, even 
in the morning (fourth day),'. — Thirst, after dinner (very unusual),*. — 
Great desire for cold drinks,"". — Much thirst for cold water,'.— Absence of 
thirst,'** '"" '"*, etc. — Dread of all drinks,"*. — Eructations. Eructa- 
tions," "" "' '", etc. — Frequent eructations,"' "" "', etc. — Frequent tiresome 
eructations, and violent hiccough,"*. — [1170.] Frequent eructations and 

f From the use of lead water, towards the close of angina pituitosa. 



PLUMBUM. 35 

borborygmi/". — Frequent eructations and vomiting,'". — Frequent inodorous 
eructations,"'. — Extraordinarily frequent eructations, with a sensation in 
tlie mouth as after eating sugar,^^ — Eructations, nausea, and vomiting, 
especially at the end of the paroxysms of colic,"".— Frequent eructations, 
affording momentary relief, and feeling like something sweet rising into the 
mouth,*'. — Frequent offensive eructations, sui generis,''^^. — Frequent eruc- 
tations tasting of the food (after half an houv)*.~* Eructations of an offen- 
sive odor (after two hours and a half ),'.— Sweetish eructations,"; (fourth 
day),*'. — [1180.] Uprisings of sweet water, with emptiness of the stomach,*. 
• — Sweetish uprisings into the throat (after half an hour),*. — Sweetish eruc- 
tations, as if about to vomit, over a hundred times in two hours,*'. — Up- 
risings of tasteless water (after a quarter of an hour),'. — *Sour uprimigs 
(after two hours and a half),*™. — Distressing eructations,". — ^Eructations 
of a strange taste,^'^*. — Eructations of gas after breakfast (after a quarter 
of an hour),*. — The gas eructated of a bitter fetid smell and taste,"'^ — 
Eructations of gas and nausea, in the evening before going to sleep (sev- 
enth day),^ — [1190.] Ineffectual attempts to eructate, followed by yawn- 
ing (after half an hour),*. — Empty eructations, followed by burning in the 
stomach, soon disappearing (after a quarter of an hour),*. — Empty risings, 
eructations,™^ — Hiccovgh. Hiccough once (after five hours),*. — *IIic- 
cough,'^^"*^^'^*™. — Paroxysmal hiccough, frequently repeated,'. — Violent 
hiccough, occasionally,™. — Frequent hiccough,"'. — Wausefi mid Vom- 
iting. *Nausea,"'"i™"\etc.— JVegweni nausea,'" ''" '«*'»'.— [1200.] Nau- 
sea (with the colic), ^'^ — Almost constant nausea,'". — Violent nausea and 
vomiting of a blackish-yellow substance, soon,'™. — Constant and very fa- 
tiguing nausea,"". — Constant nausea,''^'""'. — Frequent nausea, without vom- 
iting,"". — Nausea, without vomiting,™ ^" ''°, etc. — Distressing sickness and 
vomiting of a yellowish-green fluid,*". — Nausea and anxiety (second day),°'- 
— After every meal, uneasiness and nausea,'".' — [1210.] *Ocoasional nau- 
sea, sometimes followed hy vomiting of food,™. — They complained also of 
feeling sick at the stomach,'*'. — Slight nausea, which continued several 
days, with a load at the pit of the stomach,'*'. — Much sickness, and frequent 
vomiting,"'. — Nausea, before the colic,"*"'. — Nausea and qualmishness in 
the stomach, soon disappearing (after two hours),*. — Qualmishness,*^ — 
Qualmishness and uprisings as far as the chest (after two hours and a 
quarter),*. — Nausea and vomiting, for two months,"'". — ^Nausea and vom- 
iting, frequently present, the latter symptom being most distressing, the 
stomach in some cases rejecting almost everything "^. — [1220.] Occasional 
nausea and vomiting, for a year past,*"*. — Severe nausea and vomiting,'". — - 
Nausea, and vomiting of bilious matter,"". — Frequent nausea and vomit- 
ing,'". — Almost constant nausea, with vomiting of porraceous, seruginous 
matters,"*. — Nausea, with vomiting of a little green, thick substance,"'. — 
Nausea, with vomiting, at long intervals, of a few spoonfuls of greenish 
matter,"". — Nausea and vomiting, immediately,"'. — Nausea and vomiting,^'' 
126 159^ g(.g_ — Frequent inclination to vomit, and occasionally greenish matter 
was ejected from the stomach,'*.— ;[1230,] Incessant inclination to vomit,'"". 
— Anxious wish to vomit,"^ — Incessant inclination to vomit,".f — Frequent 
and painful efforts to vomit, which he often sought to reinforce by putting 
his fingers in his mouth,'". — Frequent empty retching, with eructations of 
thin white mucus or greenish bitter fluid,'^'. — Retching,*^ "".—Frequent 
retching,'". — Violent retching (after one week),^"'. — Retching and vomit- 

f From very large doses. 



36 PLUMBUM. 

ing, at times,''.— Inclination to vomit, and aversion.'lf— [1240.] Extreme 
efforts to vomit, that were almost convulsive,".— *Vomiting," " '" '", etc.— 
Frequent vomiting," '*"* ™, etc.— Frequent vomiting, in the morning,*".— 
Frequent vomiting, though without paiu at the epigastrium,™. — Violent 
vomiting (after fifteen minutes),""".— Excessive vomiting,*^— Constant voni- 
iting,"'^ "*" ™, etc. — Frequent vomiting of grass-green substances,^'l — Obsti- 
nate vomiting ^^^ °*°. — [1250.] * Incessant vomiting until fecal matter is evacu- 
ated through themouthj'". — Constant vomiting, with obstinate constipation,"' 
— Vomiting that could not be quieted,'^ — Vomits several times during the 
day, producing for the time, hard lumps in the region of the stomach, 
which, however, disappear on friction being applied,'"^— Frequent and tor- 
menting vomitings,"'*. — * Vomiting of everything taken into the stomach,^'^. — 
Difficult vomiting,"". — Violent vomiting, which continued almost without 
intermission for nearly six hours (after five minutes) ; mixed with the con- 
tents of the stomach a little blood was occasionally rejected,*^ — Vomiting 
with the abdominal pain, for four days,"'. — Vomiting and frequent retch- 
ing »_ — [1260.] Nothing would remain on their stomachs, even for a mo- 
ment, for nearly six weeks,"*. — Nothing would remain on his stomach but 
ice, and for a short time only he could retain small quantities of Brand's 
essence of chicken and turtle jelly ,**l — Vomiting that does not relieve the 
paiient,''.t — Vomiting, especially with sticking pains,". — *Vomiting of 
food,'". — Vomiting thirty or forty times a day,*".! — Vomiting soon after 
eating (during the colicky paroxysms),"^ — Vomiting every day, preceded 
by nausea, and consisting only of a clear, rather acid, fluid, or else of 
bile,™. — 111 for three weeks ; she vomited constantly, not being able to re- 
tain any food ; there was also constant nausea, and even when no food was 
taken, there was still frequent vomiting of a greenish watery fluid ; she 
vomited very mxich in the nighty especially the early morning'"^. — Constant 
vomiting, so that she could not take the least food,™. — [1270.] * Constant 
vomiting of all food,"^''. — Vomiting, accompanied by colic,'"*. — Difficult vom- 
iting, attended with great anxiety,™*. — Food produced great distress and 
frequently vomiting, so much so, that he often took no supper,™. — Severe 
attacks of vomiting,'". — About five weeks ago she began to vomit every- 
thing she took, whether liquid or solid, and the vomiting has continued 
ever since (in one case), (after eleven months),''™. — The stomach has not 
retained anything for a fortnight,™. — Bilious vomiting; constant nausea,*'". 
— Frequent bilious vomiting,*'".— Vomiting of a bitter, bilious, slightly 
green matter,'*". — [1280.] Frequent but difficult vomiting of mucus and 
bile,"". — Vomiting of bilious yellow substances like green vitriol,*". — Fre- 
quent bilious vomiting, preceded by nausea,"*". — * Vomiting .a brownish 
liquid streaked with blood (fourth day),'*". — Vomiting of a greenish watery 
fluid,™. — Difficult vomiting of a bitter green substance (with the colic),*'". 
■ — Frequent greenish vomiting,'". — Greenish, very bitter vomiting,"'. — 
Almost daily vomiting of a green, bilious fluid,'"". — Vomiting, only excited 
by the greatest efforts, of dark-green, very bitter matter, depositing a very 
copious, thick, slimy sediment,"". — [1290.] Vomiting of green, thick, and 
very bitter substances,"*. — Frequent vomiting of a deep-green substance, 
leaving a very bitter taste in the mouth and oesophagus ; two basinfuls 
were ejected during the day and night, only a little at a time,'"". — Frequent 

t In a woman who had applied a preparation to frecliles on the face. 

J From large doses. 

j Ett'ects of eating pancakes made of equal parts of meal and white lead. 



PLUMBUM. 37 



green, watery vomiting, followed by a little momentary relief,"'. — Green- 
ish vomiting,™'. — Several times vomited yellow mucns and bilious matter,"™. 
—The substance vomited tasted like liquorice,'"'. — *Fecal vovnfiii.g, with 
violent colic and obstinate constipation,"'. — Vomiting of a yellowish offen- 
sive substance, with the most violent colic.'l— Constant vomiting of a sub- 
stance like corroded copper (vomitus a3ruginosus),"l — Vomiting of blackish- 
yellow substances, soon,™. — [1300.] * Constant vomiting of a blackish svb- 
stance,*'. — Sometimes vomiting of a little slimy matter, like white of egg,^^'. 
— Vomiting of a stringy suWance,"'. — Vomiting of matter containing 
small whitish lumps, probably consisting of white lead,"'l — Bloody vomit- 
ing,*'.^ — Vomited a considerable quantity of blood (eighteenth day),''". — 
All food is immediately vomited, with traces of blood,*'"'. — Even gum- 
water is not retained more than five or six minutes, and aggravates the 
pains,'''^ — Stomach rejected all kinds of food ; frequently ejected a green- 
ish fiuid,^"'. — Stomach. Epigastrium tender,™. — [1310.] Epigastrium 
tense and hard,*"". — Epigastric region very sensitive,™. — Sensation of emp- 
tiness or fasting in the stomach, frequently (after a quarter of an hour),*. — 
Discomfort in the stomach, without qualmishness (after a quarter of an 
hour),*. — Indescribable sensation of depression and distress at the pit of 
the stomach (immediately),'^ — Epigastrium depressed,'"*. — Constriction 
about the epigastric region,'"". — Sense of constriction about the epigastrium 
and throat,'"'. — Contraction of the stomach,". — Contractive sensation in 
the stomach (after six hours),*. — [1320.] Tightness of the epigastrium,'". — 
Tightness in the pit of the stomach,'. — Sensation of fulness in the stom- 
ach,"". — After eating he felt swollen,*''. — Taking nourishment does not 
cause" pain, but only a sensation of uneasiness and of weight; digestion 
takes place very slowly,*". — Pressure has no effect on the epigastric pain,™". 
— ^Pressure and tightness about the stomach (after three-quarters of an 
hour),'*. — Violent pressure in the epigastric region,™. — Pressure in the 
stomach, as if it were pressed by a hundredweight,".f — Pressure in the 
stomach, as from much undigested food, with a feeling of heaviness in the 
occiput, aggravated by moving the head, after a very moderate dinner, 
lasting till very late in the evening,*. — [1330.] Pressure in the stomach,". 
— Pressure in the stomach, after eating,". — -Pressive pain in the stomach,*". 
— Pressure in the pit of stomach ; a dull anxious pain (first day),". — Pres- 
sure and fulness in the epigastrium, after eating,'"". — Epigastrium tender 
on pressure (after one year),"". — Uncomfortable weight in stomach, accom- 
panied bv eructations,"'. — Weight at the epigastrium,'''". — Heaviness in the 
stomach,".— Indigestion,'**.— [1340.] Impaired digestion," ^»"8 56o_£)i|g. 
culty of digestion,'"". — Digestion completely out of order,'". — Dyspepsia, 
associated with loss of appetite, usually with a clean tongue, with a pecu- 
liar sweetish taste, frequent accumulation of saliva, frequent nausea ; asso- 
ciated with pressure and heaviness in the pit of the stomach, sometimes 
with pain and confusion of the head, general malaise, and prostration,'"". — - 
Painful dyspepsia,'"*. — Dyspepsia,""' **". — Heat of stomach (after five 
hours),'"'. — Great heat in the stomach,'*". — Heat in the epigastric region, 
with violent pain, that extended to the region of the heart,'**. — Cardial- 
gia,***". — [1350.] Cardialgia with the colicky pains,'*".— Cardialgia, vomit- 
ing, and all the symptoms of inflammation of the stomach, ".J— Violent 
burning in the stomach, immediately,'*'. — Sensation of burning in the 
stomach, with nausea and vomiting,"". — Burning in the stomach,*"*". — 

■[■ From large doses. J From liirge doses. 



38 PLUMBUM. 

Transieot burning in the stomach (after a quarter of an hour),*. — Sense of 
burning iu the epigastric region/"". — When a cold drink reached the stom- 
ach, it caused a sensation as of boiling water, and was immediately vom- 
ited ; the vomiting \¥as profuse, of the color and consistence of coffee,^"". — 
Violent burning pains in the epigastric region, which was very sensitive to 
pressure,'". — Constrictive burning pains in the stomach, and afterwards in 
the umbilical region, occurring at longer or shorter intervals/^ — [1360.] 
Violent burning pain, much more severe at the epigastrium than at the 
umbilicus or hypogastrium, worse by paroxysms, and diminished by gradual 
pressure,"".' — Slight burning pain in the stomach (first day) ; more pain 
(second day),™. — Most violent burning pains in the epigasfric region, with 
violent vomiting (after a few hours),"^ — Cutting and burning pain in the 
stomach, extending through the abdomen,°^l — Occasionally a dull pain at 
the cardiac extremity of the stomach,**. — Sometimes severe pains in the 
stomach,'"*. — Very sharp pain at the epigastrium, worse at intervals, when 
there is a feeling of violent laceration,™'. — Extremely acute pain, confined 
to a space three inches in extent between the epigastrium and hypogas- 
trium. He complained also of a much less severe pain, extending around 
the hypogastrium,"*. — Severe pain at the epigastrium ; rather less at the 
right hypochondrium and the umbilicus; constant, but worse by paroxysms; 
tearing at the hypochondrium ; elsewhere, twisting,'". — Pains very severe 
at the epigastrium ; less so at the umbilicus and hypogastrium ; none else- 
where; they were of a tearing nature; constant but much aggravated at 
times, when, with shrunken, wild-looking countenance, she would throw 
herself into the strangest attitudes, uttering sharp cries, and begging and 
praying those about her to press their hands upon her abdomen with all 
their strength ; this would give some relief; she also tied her handkerchief 
tight around her,''*. — [1370.] Lancinating pain across the stomach and 
lower part of abdomen,™. — Sharp lancinating pains in the region of the 
stomach," — Most violent pain in the stomach, abdomen, and loins, with a 
distressing sensation of internal heat,**. — Violent pains in the stomach and 
umbilical region (seventh day),*'. — Excessive pains iu the stomach and 
abdomen,**. — Violent gastric pains, for two months,'^^^ — Violent pain in 
the epigastrium, almost immediately,™*. — Pain in the epigastric region and 
above the umbilicus,"". — Great pain in the stomach,*™. — Violent pain in 
epigastric region,''^ — [1380.] Violent pain in the epigastric and umbilical 
regions, which the patient frequently rubbed ; the muscles of the belly 
were drawn inward,*'*. — Most violent pains in the epigastrium, immedi- 
atel}',"*. — *Severe pain in the stomach, radiating thence to both groins, striking 
down both limbs, particularly the left,'^''. — Violent pains in the epigastric and 
umbilical regions (second day),'*'. — Great pain, chiefly in epigastrium 
(fourth day),'*". — Pain in epigastrium, gradually extending over the entire 
abdomen,*"'. — Pain in the stomach, spontaneous, and on pressure,***. — Pain 
in stomach, for eight days,*'*. — Irregular pains about the epigastrium,'". — 
Pain in stomach,'' '"' "» *»» **" *** **'.— [1390.] Pain extending from the pit of 
the stomach to the middle of the chest (after two hours and a half),*. — 
Pain in the stomach, whence it extends over the whole abdomen, frequently 
(after two hours),*. — Pain in the stomach, as from fasting, in the morning 
in bed, disappearing after rising (second day),*. — Pain in the pit of the 
stomach,*'*. — The epigastric region is painful on even slight pressure. Sen- 
sation of a heavy weight in the epigastrium, together with a constant and 
uniform smarting pain,"". — Colic pains at the epigastrium and umbilicus, 
twisting, constant, but worse by paroxysms, during which her face is dis- 



PLUMBUM. G9 

torted, she utters grievous cries, lies on the belly, doubles herself up, ties 
handkerchiefs tightly round her, gets up and walks the room, etc.; but no 
position entirely relieves,™. — Pain like a boring, in the pit of the stomach, 
extending into the right side, intermitting,*. — Dull, heavy, epigastric pain, 
giving the sensation of the bowels being drawn toward the spine,"'. — 
Boring pain, quite severe at the epigastrium, slight at the hypogastrium, 
scarcely felt at the umbilicus; acute in the right testicle; worse by par- 
oxysms. Pressure gradually applied with the flat hand relieved it, but it 
was aggravated by suddenly and forcibly bearing down on the abdomen ; 
and pressure did no good unless the limbs were previously flexed upon the 
pelvis. Pressure on the abdomen uniformly caused the pain to shift its 
place ; when it was applied from the umbilicus to the hypogastrium, the 
pain went up to the epigastrium,'^™. — Severe twisting pain in the epigas- 
trium, coming on paroxysmally every five minutes, and diminished by 
pressure,"*. — [1400.] Twisting pain at the epigastrium and umbilicus, di- 
minished by pressure, and becoming much worse by paroxysms ; he lies 
flat on his belly; bends double, keeps changing his position, and his face 
is remarkably pinched,"^ — Moderate twisting pains at the epigastrium and 
umbilicus ; worse by paroxysms, slightly diminished by pressure,'"*. — Pres- 
sive, tensive constrictive pain in the epigastric region,"^ — Constant aching 
pain at the epigastrium, which was very much aggravated at intervals,^^". 
— Slight pain at the insertions of the diaphragm, during inspiration/'''.— 
Have not been free from pain at the epigastrium for a year,™. — Pain much 
worse after eating, and she cannot retain anything on her stomach (after 
one year),'"". — Hot or cold drinks increase the pain ; tepid drink agrees 
best (after one year),'^"'. — * Complains sometimes of a feeling as if a ball as- 
cended from the epigastrium along the thorax to the throat, where it causes a 
hind of svffocation; at such times he can neither speak nor swallow, and suffers 
the greatest anxiety,''^. — Cramp in the stoniach,^^f — [1410.] Cramps in the 
stomach,^''*. — Severe gastric and abdominal cramps,'*'. — A sensation of the 
stomach and bowels, being strongly drawn upwards and backwards,™. — 
Excessive irritability of the stomach,™. — After swallowing any liquid, a 
sensation as if the stomach was turned, not followed by vomiting, but ag- 
gravating the abdominal pains,™. — Pricking sensation at the pit of the 
stomach, gradually amounting to pain, which would be more violent at 
intervals, drawing him double,™. — Tearing sensation at the epigastrium 
and umbilicus, worse by paroxysms, during which he is rather restless, 
often turning in bed ; lies flat on his belly ; complains and screams some- 
what. Abdomen sensibly depressed, hard and contracted,*'^ — Colic, first 
at the pit of the stomach, and gradually extending all over the abdomen,**'. 
— Violent stomachache, becoming worse every day, until it changed into 
ileus,*^. — Fine griping in the pyloric region,'. — [1420.] Frequent stitches, 
extending from the pit of the stomach to the back,*. 

Abdomen. — Hypochondria. Liver enlarged,"'. — Out of one 
hundred and eighty cases, four died of cirrhosis of the liver,'''. — Liver 
contracted,"*. — Spleen large, extending below the margin of the ribs,*". — 
Diseased spleen,". — Morbid sensitiveness of the splenic region,*". — -Hepatic 
region sensitive to pressure, but the liver is not enlarged,**".— Liver sensi- 
tive to pressure, and somewhat hypertrophied,*'^ — Spleen and kidneys also 
painful on pressure,**^ — [1430.] Pain in the region of the spleen,*". — Pain 
in the liver,*** *'*. — Dull pains in the liver,'. — Constant pains in the hypo- 

f Prom the application of a solution of sugar of lead to a contused wound. 



40 PLUMBUM. 

chondria, aggravated by touch,'\ — Sensation of heat and burning in the 
liver and spine (after three-quarters of an hour),**. — Tearing in the left 
hypochondriuin posteriorly toward the back, where it became a sticking, 
in the afternoon,*. — Sticking pressure in the hepatic region,''. — Persistent 
sticking pain in the hepatic region, first anteriorly, then posteriorly,''. — 
Slight pain in the regiou of the spleen (second day),'''. — Stitches in the right 
hypochondrium (after one hour and a half),*. — [1440.] Stitches in the 
right hypogastrium, in the afternoon,*. — Stitches extending inward in the 
left hypochondrium, somewhat relieved by rubbing, but returning worse 
than ever, at last disappearing of themselves, frequently during the day 
(after one hour),*. — Stitches in the left hypochondrium, relieved by rubbing 
(after two hours),*. — Stitches in the left hypochondrium, extending back- 
ward (after one hour and a half),*. — Umbilicus and, Slclea. Cuplike 
depression at the umbilicus,™. — Prominent swellings could be seen and felt 
at the umbilicus and hypogastrium, evidently formed by an aggregation of 
the intestinal folds, and disappearing when the acute pain subsided,™. — 
Cuplike depression of the umbilicus,"". — * Abdomen in the umbilical region 
retracted to spine,^^'. — Umbilicus retracted ; very painful to pressure,"''. — 
Navel retracted,*'*^. — [1450.] *Betraction of the umbilical region; the walls 
of the abdomen were pressed against the spine, and ivere sensitive to pressure,^. 
■ — Abdomen hard, spasmodically contracted, so that the navel approximates 
the spine,™. — The whole abdomen is somewhat tense, especially the umbili- 
cal region ; the latter, when pressed by the hand, feels as hard as a stone,^"* 
— Slight moving back and forth below the navel, like a rough substance 
(after one hour),*. — Movements about the navel (after a quarter of an 
hour),'. — Bubbling about the navel, frequently intermitting,*. — •*Extremely 
violent pains in the umbilical region, that shoot to other portions of the 
abdomen, somewhat relieved by pressure ; at times they became so violent 
that the patient loas almost wild, tossed about the bed, pressed both fists into the 
abdomen, and declared that he must go to stool immediately; the abdominal 
walls were greatly retracted, associated with vomiting of greenish bile, with 
offensive exhalations from the mouth,™. — Violent pain in a space three 
inches square around the umbilicus, a most severe twisting sensation, dur- 
ing the aggravations,™. — Violent pain about the umbilical region, extend- 
ing across to the right hypogastric region,*". — Violent periodical colic in 
the umbilical region,"'. — [1460.] Violent pains, especially in the umbilical 
region,*". — Violent twisting pain at the umbilicus, hypogastrium, epigas- 
trium, and renal region, constant, and with frequent excessive aggrava- 
tions, during which there was extreme restlessness,"". — Violent pain in 
umbilical region, occasioaally so severe as to oblige him to draw up his 
legs,™. — Violent pains in the umbilical region, on vomiting,''''^ — Violent 
crampy pains round the umbilicus,"'". — Most violent pains in the umbilical 
region, and a little above, described by the patient as constrictive and bor- 
ing,'". — Violent pain starting from the umbilical region and extending to 
the lower portions of the abdomen, accompanied by nausea, vomiting, and 
strangury ,°"'.— Violent pains in the umbilical region,**.— Violent pain in 
the abdomen, especially in the umbilical region,"*. — Violent pains extend- 
ing from the pit of the stomach to the umbilicus, and raging with great 
violence for an hour at a time,'".— [1470.] Violent abdominal pains, espe- 
cially about the navel, with hardness and retraction of the abdomen,''. — 
Bather violent pain, especially about the umbilicus, worse by paroxvsms, 
diminished by pressure,'".— Severe pain, constant, but worse by paroxysms, 
at the umbilicus, and felt in a circle all around the abdomen and corre- 



PLUMBUM. 41 

sponding portion of the trunk ; ameliorated by hard pressure, but aggra- 
vated by gentle pressure. During the paroxysms he draws himself together, 
clings to the bed-rail, and keeps up a hard rocking movement ; sometimes 
he digs his fists deep into the navel, doubles himself up, lies flat on his 
belly, etc.,'''. — Extremely severe pains in the umbilical region, extending 
into bowels generally; relieved somewhat by slow and gradual pressure; 
they become at times so violent that he is almost crazy, and utters sharp 
cries, tosses about and rolls in his bed, squeezes his bowels with his fists, 
insists on going at once to stool, etc.,"*^ — Colic, by paroxysms, in the whole 
abdomen, especially about the umbilicus, unaflected by pressure; during 
the paroxysms he tosses about in bed, and his face is expressive of consid- 
erable suffering,"^ — Very severe pains in the whole umbilical region, as if 
the bowels were twuted, especially immediately around the navel ; the pain 
is less severe in the hypogastric region. These colic pains remit and return 
about every five minutes ; their approach is shown by the agonized and 
anxious expression of the features ; they are accompanied by restlessness, 
all sorts of attitudes being taken in order to obtain relief; to this end, the 
hands are instinctively rubbed lightly on the abdomen, and at last he cries 
aloud for help,"^ — Severe pain at the umbilicus and hypogastrium, becom- 
ing excruciating by paroxysms, during which he utters dismal screams, lies 
on his abdomen, rolls himself up, etc. Face shrunken, and expressive of 
great anguish ; abdomen retracted and hard, especially about the umbili- 
cus. The pain during the attacks is of a twisting nature ; between them, 
it is a mere feeling of constriction. Colic pains somewhat aggravated by 
pressure. No nausea or vomiting, but frequent eructations,'"'. — Excruci- 
ating pain near the umbilicus,''^ — Excruciating pains at the umbilicus, 
hypogastrium, epigastrium, and base of the chest. They consisted, during 
the paroxysms, of a twisting sensation, relieved by pressure, and between 
them of a feeling of simple constriction, which pressure aggravated. Press- 
ing the hand upon the abdomen imparted a sense of extreme hardness,'^''. 
■ — *Pains in all the bowels, but much worse at the navel ; they consisted of 
an excruciating tearing. The paroxysms, which returned at intervals of 
less than six minutes, caused the greatest agitation ; with flushed face and 
wild eyes he uttered cries of rage and despair, which disturbed the patients 
in the adjoining wards. One of his companions thrust his fists into his 
abdomen in order to relieve him ; he himself pressed it Avith all his force 
against a chair; at times he leapt out of bed, holding up his belly with his 
hands, and begging to have its pains relieved,™.^ — [1480.] Late in the 
afternoon of the third day he began to feel general uneasiness, and a dull 
pain in the umbilical region, which radiated over the whole abdomen, espe- 
cially in the direction of the recti muscles ; this pain gradually increased 
during the night, becoming lacerating in its character, and causing great 
restlessness and moaning ; it was accompanied by attacks of vomiting of a 
bitter, bilious, slightly green matter, metallic taste, anorexia, lack of thirst, 
chilliness, cramps in the lower extremities, sleeplessness, and anxiety,'™. — 
Severe pain around the navel ; not increased, but rather relieved, by pres- 
sure; five days later, same pains in umbilical region,''^ — Severe pain at the 
umbilicus, extending to the hypogastrium and testicles ; worse by parox- 
ysms ; sensation as if the bowels were torn out. The attacks come on not 
oftener than every half hour,"^ — Severe remitting pain, especially towards 
the umbilicus, slightly diminished by pressure,"'. — Severe pain in region of 
navel,™. — ^Frequent and severe paroxysms of pain in the umbilical region,'". 
— Intolerable pains about the navel, followed by very obstinate constipa- 



42 PLUMBUM. 

tion,^^f — Exceedingly acute twisting pain at the umbilicus and epigastrium, 
often much worse by paroxysms, and only slightly relieved by slow and 
gradual pressure. During the paroxysms the abdomen is depressed and 
very much contracted; there is nausea or vomiting, be sereamsout, rolls 
about in bed, keeps changing his position, tries to provoke vomiting with 
his fingers; when questioned he answers quite rationally, but does not want 
to be spoken to,^^^ — Severe twisting pain at the umbilicus and hypogastrium, 
returning in paroxysms, alleviated by pressure,"*. — Twisting pain about the 
umbilicus, shooting through to the back and down the limbs,''*^.— [1490.] 
Twisting pain, at times very severe, at the umbilicus and epigastrium,^''. — 
Very severe twisting pain at the umbilicus, not so bad at the epigastrium ; 
increased by pressure and diminished by friction,^''. — *Lacerating pains at 
the umbilicus and epigastrium; rather worse by paroxysms; slightly ameli- 
orated by pressure. During the attacks he tosses about in bed, his face is 
contracted, he utters complaints,^^'. — Sharp lancinating pains in the pubic 
and umbilical region, with a sensation of twisting about the navel,'^ — Pain 
in all the abdomen, especially in the umbilicus, accompanied by a burning 
sensation in the intestines during an attack of pain, which frequently changed 
to a species of insensibility of the abdominal walls,'^". — Seated pain in the 
umbilical region,*". — Pains in the umbilical region,*^ — Pain in the umbili- 
cal region and back,^". — Pain about the region of the navel,''^ — When he 
can be got to pay attention, and is asked where he feels pain, he points to 
the umbilical region,'"". — [1500. J Pain at the umbilicus, hypogastrium, and 
renal region, constant, but with aggravations ; paroxysms of twisting colic 
every five minutes, very slightly relieved by pressure,™^ — The pain is worst 
at the umbilicus ; next worst at the epigastrium ; the hypogastrium and 
sides are least affected,"'. — Pains at the umbilicus and hypogastrium, con- 
stant, but rather worse at intervals; he compared them to twitchings; 
neither increased nor diminished by pressui-e, which made them rise up to 
the breasts,™. — Tlie pain was chiefly felt at the umbilicus, scarcely at all 
at the hypogastrium ; during the paroxysms it was a twisting sensation ; 
between them, a feeling of compression. The abdomen was neither re- 
tracted nor swollen, but it displayed a marked degree of tension,'^'"'^. — Very 
slight pain at the umbilicus ; worse at intervals ; diminished by pressure,''*. 
— Very slight pain about the umbrlicus,"'. — Umbilical region painful to 
pressure,^'". — Pressure on the umbilical region only slightly alleviates the 
pain,™'. — Tenderness on pressure about the umbilicus,^"". — Feels very sore 
in umbilical region,*^'. — [1510.] Forcible pressure on the umbilical region 
is attended with marked relief; pressure also diminishes the hypogastric 
pains,'™. — If the umbilical region be gradually pressed during the colic the 
pain is relieved, and the patient can, under certain circumstances, allow 
two or three people to lie upon the abdomen ; at other times the pain is 
aggravated by the slightest touch,". — Burning internally about the navel, 
transient (after one hour and a half),*. — Cutting about the navel, which is 
retracted, while pressing at stool, disappearing after the stool (after five 
hours),*. — Griping about the navel, followed by ineffectual desire for stool, 
disappearing after the emission of flatus (first day),*. — Griping about the 
navel, relieved by the emission of flatus, in the afternoon,*. — Griping inter- 
nally about the navel, followed by transient burning in it (after six hours),*. 
— Sticking, as witii a needle, below the navel, deep internally (after two 
hours),*. — Stitches round about the navel, extending to the right and left 

f Effects of inhalation of the dust by a man while working in lead. 



PLUMBUM. 43 

(after one hour),*. — Feeling of something like a mouse creeping in the left 
side of the abdomen (after two hours and three-quarters),*. — [1520.] Sen- 
sation as if something had fallen down in the left side of the abdomen, in 
the afternoon,*. — Slight drawing in the side, towards the back, as from dis- 
tension,^ — Stitches in the left side of the abdomen (after two hours and 
three-quarters),*. — The sides of the abdomen were a little painful,™. — 
General Abdomen. Dull sound of the anterior portion of the abdo- 
men on percussion,''^^ — Abdomen inflated and sensitive,**'. — Abdomen dis- 
tended,^— Projecting abdomen,"l — Flatulent distension of the abdomen,**. 
— Abdomen distended, with spasmodic pain (second day),'^". — [1530.] Great 
flatulent distension coming on after food, accompanied by severe pain,"'. — • 
Abdomen large, somewhat tympanitic,*'^ — Pain in and distension of the 
abdomen,"*". — Inflated abdomen,***. — Abdomen hard, and at times distended 
by flatulence, often spasmodically contracted,'^f — Abdomen extremely 
tense, with deeply retracted navel,*'. — Tension of the abdomen j^^'l— The 
abdomen is very tense,*'. — Abdomen and loins somewhat swollen, and pain- 
ful to touch,'". — Abdomen swollen, and the seat of acute pain, which the 
slightest pressure augmented, but which firm pressure relieved (after one 
day),^"". — [1540.] Uneven tense swellings on various parts of the abdomen, 
especially during the height of the paroxysms,^". — Abdomen tense, exceed- 
ingly sensitive to the slightest pressure; pains relieved by hard pressure,^**. 
— Abdomen feels tense and hard ; there is much tenderness near the um- 
bilicus,'^'''. — Much rigidity of the abdominal muscles,^". — Abdomen remark- 
ably hard and contracted ; it seemed glued to the spine ; the umbilicus 
excavated,™ — The abdomen is hard, but neither retracted nor swollen,"'. 
— Abdomen hard and tense,™. — Abdomen hard and tense, not painful on 
pressure, but relieved by it,"'". — Abdomen hard, but of natural shape,'*l — 
Abdomen hard and swollen, slightly sensitive to hard pressure on the um- 
bilical region,*"". — [1550.] Abdomen very hard,^'l — Abdomen very hard 
and uneven, being much sunken in along the median line, while the sides 
are elevated,^'*. — Abdomen of natural shape; it felt rather hard here and 
there; its usual flexibility was diminished,'''''^ — Abdomen lumpy, uneven, 
and rather hard,™. — Hard lumps could be felt in the abdoraen,*l — Abdo- 
men slightly hard,*'\ — Abdomen hard and painful,*". — Abdomen hard and 
flat, but not retracted,*"". — Abdomen' hard, not painful to pressure,^'.— 
Abdomen very hard and depressed,"". — [1560.] Abdomen tender on pres- 
sure in one paroxysm,™. — Some had tumid abdomen,"\ — Abdomen doughy 
to feel,*"l — Abdomen evinces a great degree of tumidity, and is unable to 
sustain pressure; an unremitting pain is likewise complained of, with par- 
oxysms o<i intense pain, recurring at intervals,". — Abdomen flexible, sensi- 
tive to pressure, especially at the stomach and right side; the pain is even 
quite severe at these points, and ascends the length of the oesophagus as far 
as the throat (after four hours), ""^ — Abdomen retained its natural shape, 
but not its softness,''".^ — Abdomen soft, but digestion is not as easily per- 
formed as in health,™. — The anterior walls of the abdomen lay in the same 
plane with the ensiform cartilage and pubis,'™. — Abdomen quite soft, rather 
projecting than retracted,"'. — Tympanitic abdomen,'"'. — [1570.] Abdomen 
retracted,'^ "^ '"'^ "", etc. — Abdomen flattened, and very paipful on pressure,'* 
— The abdomen is exceedingly retracted; it communicates to the hand, on 
palpation, a feeling as if its muscular tissue were aflfected with cramps,"*. 
— Marked retraction of the abdomen,'"". — ^Intense retraction of the integu- 

j- Effects of Uirge doses. 



44 PLUMBUM. 

merits of the abdomen towards the spine, and a hard knotty feeling of the mus- 
cles in various places over its surface,^^''. — Abdomen retracted, hard,^^l — Great 
retraction of the abdominal walls, with painfulness to pressure, especially 
about the navel,'".— Abdominal walls drawn in and perfectly rigid,'^.— 
Abdomen flattened,*".— Abdomen retracted, tense, not sensitive to pressure; 
on the contrary, pressure on the abdomen or lying upon the side rather 
relieved the pains,*".— [1580.] Abdomen tense, painfully retracted,'"'.— 
*Abdo7nen retracted, hard, painful; the pain commenced at the umbilicus, and 
radiated to the lumbar region and to the iliac fossa; became so violent that 
he rolled upon the ground, and pressed the abdomen with great violence,"'*. 
— Abdomen retracted and concave,*". — Contraction of the abdominal 
walls,^'' '^''.— The parietes of the abdomen seemed glued to the spine, with 
no elasticity ; I could grasp the curvature of the spine in the hand, and 
take hold of the descending aorta with the thumb and finger,™".— Abdomen 
painful, retracted,'"^— Shrunk state of the abdomen,'".— Abdominal mus- 
cles strongly contracted,*\ — The abdomen is sensibly retracted, "">'". — Ab- 
domen sunken,^'". — [1590,] Abdomen retracted, and slightly painful on 
pressure,*" — Abdominal muscles retracted and rigid,'*l — Retracted abdo- 
men, with tense tympanitic muscles, like hard boards,^"". — Retraction of 
the whole abdomen, especially of the navel,'^ — The abdomen is sunken at 
certain spots and distended at others; the abdominal muscles are distinctly 
seen through the skin,'". — *The abdominal muscles are forcibly drawn inward, 
so that the navel often presses against the spine,^. — The abdominal muscles, 
with all the intestines, were drawn back toward the spine; the sphincter 
ani was violently constricted, with persistent vomiting of tenacious greenish 
substances.'^.t — Hard contraction of the abdomen, that could endure no 
touch,^, — Contraction transversely about the middle of the abdomen, while 
sitting bent over (after five hours),*. — Abdomen much contracted and hard ; 
when asked where he feels pain, he says sometimes that he has no pain, 
sometimes that his whole body is painful, sometimes that he has pain in 
his abdomen only; strong pressure on the abdomen causes pain,'*'. — [1600.] 
Abdomen tense, contracted, and very much depressed,'". — Abdomen con- 
tracted, especially during the paroxysms,"'^ — The abdomen is contracted 
to that degree that it describes a curve with the concavity upwards; when 
pressed, it feels as hard as a stone,^'l — The abdomen preserved its natural 
shape, yet was hard and contracted, as was evident on compressing it. The 
pain was unaffected by pressure. Constipation ; no stool since the pains 
set in ; one copious evacuation the day previous,"^ — Abdomen retracted and 
hard (during the paroxysms) ; relaxed and little depressed (between the 
paroxysms). Swellings, as large as the fist, frequently appear in various 
parts of the abdomen ; they are very movable ; their appearance and dis- 
appearance are almost instantaneous ; percussion, palpation, and the gur- 
gling the)' cause, show them to result chiefly from gaseous accumulations 
in the intestines,'"*. — Abdomen exceedingly depressed, as if glued to the 
spine ; it seemed extremely hard when pressed upon during the paroxysms, 
less so between them,™. — The muscles of the anterior wall of the abdomen 
are tense, and the abdomen is depressed, chiefly over the median line. The 
tension is not relaxed by flexing the lower limbs upon the pelvis and occu- 
pying the patient's attention, and, together with the retraction, becomes 
worse at every return of the colicky paroxysms,™'. — Abdomen flat and de- 
pressed, not very painful on pressure,*'*. — Abdomen depressed, hard, and 

f In a painter. 



PLUMBUM. 45 

contracted,™™.— Abdomen slightly depressed and markedly contracted, 
especially throughout the space occupied by the recti muscles ; this mus- 
cular tension gave rise to a sort of canal from the ensiform cartilage to the 
pubis,'".— [1610.] Abdomen little depressed, but much contracted,"'. — 
Abdominal walls somewhat depressed,"". — Ulceration of the intestines,*'. — • 
The abdomen seems eviscerated and hard on account of the great retraction 
of the abdominal muscles ; the navel seems to adhere to the spine, and 
the pain also involves the pectoral regioii,'^^. — Inflammation of the intestines, 
mesentery, and peritoneum, with ulceration, gangrene, and death,''. — In- 
flammation of the abdominal viscera, and even of the mesentery, with de- 
bilitating fever, turbid, red, and thick urine,*". — Inflammation of the bowels, 
with excessive painfulness of the abdomen, great anxiety, and burning in 
the intestines, with general twitching, followed by death,*'. — Flatulence,'". 
— Much flatulence," '*" "". — Frequent emission of flatus (first evening),*.— 
[1620.] Very ofiensive flatus, after eating fish,'. — Short, partly loud emis- 
sion of flatus, of a penetrating odor (first day),'. — Discharge of hot flatus, 
that burns like fire (second day),*. — Discharge of flatus upward and dowu- 
ward,*^ — Flatulent troubles,'. — Emission of flatus, preceded by slight cut- 
ting colic, in the morning (fifth day),".— Emission of ofl^ensive "flatus (after 
three-quarters of an hour),*. — Gas often moves about noisily in the bowels, 
and then the abdominal swellings disappear,'^". — Fermentation in the in- 
testines,'. — Movements of flatus in the abdomen (second day),*. — [1630.] 
Everything that he takes seems to turn to wind,**. — Borborygmi,™ '" '" "', 
etc. — Borborygmi, especially in the right iliac fossa,"". — Audible rumbling 
and gurgling in the whole abdomen, in the morning, after rising; a stool 
after a quarter of an hour, at first formed, followed by violent purging 
(second day),*. — Rumbling and gurgling in the abdomeu,*^. — Loud gurg- 
ling of liquid and gas in the bowels, especially from pressure on the 
abdomen,"". — Gurgling in intestines,'*". — Movements in the abdomen, 
with rumbling, in the evening,*. — Colic (fifteenth and twenty-first days),*'" 
'' '^ etc.— Violent colic," » '" "«, etc.— [1640.] Most violent colic the 
patient pressed upon the abdomen and tossed about, with cries ; the pain 
involved the whole abdomen, and lasted more than two hours (after one 
hour),"*.— Most violent colic,*°.f — Very violent colic, with nausea and 
vomiting ; the patient tossed about the bed with most violent pain, abdo- 
men retracted to the spine, not sensitive to pressure, with constipation,"". — ■ 
Violent periodical colic,*.| — Violent colic ; she doubles up like a worm,*'. 
— Violent colic, most severe about the navel,'". — Severe colic, attended with 
inflammatory symptoms,'^ — Severe colic, worse by paroxysms, especially 
at the umbilicus, forcing him to scream out, roll about in bed, bend double, 
etc.,'™. — Very severe colic ; during the paroxysms, which are frequent, great 
restlessness,'"". — (Very severe colic six years ago, with obstinate constipa- 
tion ; a few days ago very severe pain in abdomen ; copious diarrhoea),*". 
— [1650.] (Quitted work on account of a severe attack of dry colic, which 
lasted five weeks; when recovered he returned to his former trade, in which 
he had nothing to do with lead ; but after four or five days he began to 
feel pains in the joints, bad enough to make him break off work),*'". — Colic 
very violent; pains begin around the umbilicus, and extend towards the 
hypogastrium,*"*. — On a sudden the complaint left the extremities of the 
body, and seemed to concentrate itself upon the abdomen in the form of 

f Prom the internal use of sugar of lead, 
j In a woman. 



46 PLUMBUM. 

a violent attack of colic,^™. — During the course of this disease, which was 
marked by its usual features, very severe colic set in, evidently caused by 
lead,™. — Severe colic; the sufferer pressed her belly and rolled on the 
ground, screaming; the pain occupied the whole abdomen (after one 
hour),'"^. — Suffered from violent colic, with obstinate constipation,*'". — Vio- 
lent colic, relieved by hard pressure upon the abdomen,"*. — Severe colic, 
relieved by pressure applied secundem artem; he is in the habit of pressing 
his own hands hard on the abdomen during the paroxysm s,*''°. — Violent 
colic, with retraction of the abdomen,'"'. — Very severe colic ; screamed 
aloud, and assumed the strangest postures to obtain relief/^*. — [1660.] 
Frightful colic, with nausea, constant vomiting, and obstinate constipa- 
tion,"*. — Intolerable colic, with frightful anxiety, constant retching, re- 
tracted testicles,''". — Slight or most violent colic, at first transient, after- 
wards persistent,". — Violent colic and convulsions, recurring seven or eight 
times in one day, with closure of the jaws, convulsive movements of the 
eyes and of all the limbs, with great uneasiness and such violent move- 
ments that several men could scarcely hold him, with impeded micturi- 
tion,"". — Colic characterized by the fact that he lay flat upon the abdomen, 
in such a way as to strongly compress it,"''. — During the paroxysms all the 
bowels seem in commotion, agitated by abrupt, spasmodic, irregular con- 
tractions. This is especially the case when hiccoughing comes on ; at such 
times he becomes quite desperate, complaining of a most severe tearing 
sensation throughout the bowels. He generally lies flat on his belly, finding 
most relief in this position ; sometimes the body and limbs are jerked about, 
and there is an audible lively chattering of the teeth,"*. — The colic was 
worse in paroxysms, which were extremely frequent; there was then great 
restlessness, loud screaming; sometimes he lay flat on his belly, sometimes 
got out of bed to lie on the brick floor, or strongly pressed a chair against 
his abdomen ; sometimes struck himself with his hands, or tied his cravat 
around him ; in short, tried in all sorts of queer ways to relieve the terrible 
pains, but any ease thus Obtained was of short duration,"^ — Although per- 
fectly rational, he was so overcome by pain that he threw open his window 
in order to jump out, and at another time furiously seized his razor to cut 
his throat,'". — During the paroxysm the pain often ascends from the epi- 
gastrium into the chest, extending thence along the external surface of the 
upper extremities ; it then occasions the utmost uneasiness and anxiety ; 
he sits up in bed, laboring under violent palpitation, and a feeling of suffo- 
cation almost amounting to syncope. Respiration 35-40. As soon as the 
colicky attack subsides, all the symptoms of the chest and arms disappear; 
he is prostrated by fatigue; he expands his chest slowly to its full capacity,''*. 
— (Having had lead colic the year before, for the first time, with cerebral 
symptoms, he now felt pains in the abdomen, followed by constipation and 
other symptoms of colic),"". — [1670.] The colic alternated with pains in the 
joints and violent headache,*"'. — Attack of colic, which left behind a trem- 
bling state of the limbs,**". — Colic lasting sometimes a quarter of an hour ; 
relieved by pressure, secundem artem, although, between the paroxysms, 
the abdomen is exceedingly sensitive,*". — His first attack of lead-poisoning 
occurred ten years since. A year ago he had a second one, and was sick 
for a month ; very bad colic, epileptic seizures, with loss of consciousness 
and consecutive paralysis. No colic in the interval,*". — Attacks of colic 
lasting from morning till towards evening, and still worse in the night,'^ — 
Attack of colic, followed by an alvine evacuation, with febrile movement, 
general debility, and drowsiness; afterwards successive attacks of colic, 



PLUMBUM. 47 

■with persistent constipation /'^ — -Colic, with paralysis/". — Repeated attacks 
of lead-colic pains in both arms,™. — Colic, with hard, tense, retracted ab- 
domen, very painful to pressure,^''^ — Colic every hour, and lasting about 
twenty minutes,"". — [1680.] Colic, with paralysis of the lower extremi- 
ties,'°.f — Colic, with jerking,'*.! — The colic is seldom accompanied by un- 
controllable diarrhcea,". — Colic at first slight, soon ceasing, but afterwards 
returning, and finally becoming intolerable,*'. — Colic, that often intermits 
for two or three days, or even one or two months,*^ — Cutting colic, as from 
flatulence, in the morning, in bed,\ — Colic, with diarrhoea, followed by con- 
stipation,"". — Had colic six times; the last time it was accompanied by 
paralysis of the extensor communis digitorum of the right side,™. — Some- 
times presses his fingers deep into his navel, or ties his cravat tightly around 
him, etc.,™^ — Colic, consisting of intermittent boring pains in the abdomen, 
usually commencing in the umbilical region, sometimes so violent that the 
patient became perfectly wild and knocked his head against the wall, or 
even stood upon his head, with most frightful cries ; tried to press with all 
his force upon his abdomen ; the pain often extended to other regions, to the 
chest, threatening suffocation, to the small of the back, kidney, bladder, lower 
extremities, always accompanied by obstinate constipation, and usually by 
retraction of the abdomen; abnormally slow pulse,^"'. — [1690.] A fit of 
colic coming on during micturition, the flow of urine suddenly stops, and 
at the same time the penis, which is very painful, becomes retracted, much 
shrunken, and concealed under the- scrotum. When the fit is over the 
urine flows quite freely again ; during micturition, and for some time after- 
wards, a slight smarting is felt all along the urethra,''". — (^Three previous 
attacks of colic ; the last of these was accompanied by severe headache, 
delirium, epileptic seizures, and temporary amaurosis),*™. — (One previous 
attack of colic, with epilepsy and delirium),*'". — (Five previous attacks of 
colic, the third one accompanied by loss of consciousness, the fourth by 
motor and sensory paralysis of the lower limbs),**". — Has had two attacks 
of colic, the last one severe, with restlessness and delirium ; paralysis of 
the entire upper limbs,*'". — Has bad two attacks of lead colic. For some 
time past has noticed that he manipulates the type with much less ease 
than formerly, sometimes even letting them fall out of his hands,™. — Colic, 
aggravated by cold,''''. — Colic, which was aggravated regularly, morning 
and evening,"'. — Colic, aggravated by any food,"'. — The colic pains are ag- 
gravated by sudden and forcible pressure on the abdomen, but if even hard 
pressure is applied gradually they are relieved,^^\ — [1700.] The colic almost 
always becomes worse by paroxysms ; there is then the most painful twist- 
ing sensation,"^ — Colic, only relieved by lying on the abdomen,*". — Colic, 
relieved by lying on abdomen ; the pain extends to the testicles,*'". — She 
did not suffer from lead colic during pregnancy,""*.— Colic, allayed by pres- 
sure secundem artem, but increased by hard pressure,*"^ — Pressure neither 
increases nor diminishes the colic,'''.— Colic, relieved by external pressure, 
so greatly relieved that the patient would often wish two or three people 
to lie across the abdomem ; at other times the colic was aggravated by the 
slightest touch,"".— Arthralgia colicky pains,'"" "".—Colicky pains in the 
abdomen, soon becoming extremely severe ; they were worse than labor 
pains, lancinating, extending into the back and loins,"'".— Violent colicky 
pains, which made him scream loudly, and throw himself from one side of 

f In a child who had had sugar of lead rubbed into a sore sp^t. 
t From the continued use of sugar of lead in intermittent fever. 



48 PLUMBUM. 

the bed to the other/".— [1710,] Great pain (colic pain) and swelling of 
the abdomen/''l — Colicky pains all over the bowels, especially the umbili- 
cal region, where they are of a twisting nature,'". — Dull transient colicky 
pains in the abdomen, worse after eating,"'. — Wandering pains before the 
colic,"*. — He twisted his handkerchief into a rope, and tied it tightly round 
his abdomen,'". — Attacks of violent abdominal pain, coming on sometimes 
two or three times daily, with dull pain in the intervals. There is a feeling 
as of a bar lying across" under the navel, succeeded by a pain rising towards 
the stomach. The pain sometimes extends into the back and loins, some- 
what relieved by pressure on the abdomen. There does not seem to be any 
connection between the stools and the colicky paroxysms; the latter are 
more frequent in the night; the stools occur at intervals of several days; 
there may be two or three in the same day. The paroxysms are generally 
accompanied by a yellow tinge of the sclerotica,"^. — Horrible pains (in the 
bowels) ; rolls about in bed, trying to get into a position where his abdo- 
men will be compressed as much as possible. Pressure on the abdomen 
with the fingers is painful ; pressure with the flat of the hand is also pain- 
ful, although he prefers to lie on his abdomen, "I— Very acute pains in the 
abdomen, followed by very profuse diarrhoea,*"'. — Great pain in the abdo- 
men, which is much relieved by pressure and warmth,™. — Pains in the 
abdomen, gradually increasing to very great intensity, accompanied by 
extreme constipation,"". — [1720.] Severe pains in the abdomen, with con- 
stipation,*". — A good deal of abdominal pain, and sometimes very much 
tenesmus, with the diarrhoea,*". — Severe pain, coming on in fits, over the 
abdomen, so as to bend him double, ''". — Most acute pains in the whole ab- 
domen ; much worse at the umbilicus,"^ — *Excessive pain in abdomen, 
radiating thence to all parts of the body,"'. — Pain in the bowels, which 
gradually increased in intensity until it became excruciating, lasting more 
than a week ; writhing with agony ; pain extended to the lower extremi- 
ties, especially to the i'eet'"'. — Most violent pain in the abdomen, followed 
by bilious vomiting; abdomen very tense,"". — Violent pain in bowels; 
more intense in the umbilical and iliac region than any other part of the 
abdomen,''"". — Violent pains and contractions in the abdomen,^'.t — Pain in 
the abdomen ; painful flatulent distension below the navel ; disappearing 
after the emission of flatus (after three hours),*. — [1730.] * Violent pains 
in the abdomen, kidneys, and lower extremities,^'. — Most violent pains in the 
whole abdomen, aggravated by touch,". — Pain in the abdomen, constantly 
becoming more distressing,''^'. — The most violent pains rage in the abdo- 
men,'^". — Most raging pains in the abdomen,^". — Violent persistent pains in 
the abdomen, that becomes contracted like a board and retracted about 
the navel,". — Intolerable pains in the abdomen, that cause great uneasi- 
ness, and even confusion of mind and faintness,*'. — Most violent pains in 
the intestines,' ''^ '"^. — Pains in the abdomen, extending up and down,''''. — 
Intolerable pains in the intestines,*'. — [1740.] Bruised pain in the abdom- 
inal muscles, transversely across below the ribs and about the navel, no- 
ticed on pressure, coughing, and the like, and aggravated by rising from 
a recumbent posture,". — Pains in the abdomen, aggravated by touch,*'. — 
Violent abdominal pains, not augmented by pressure, of five days' stand- 
ing,™. — Pain, worse by paroxysms, in the whole abdomen, and especially 
at the umbilicus, sometimes so violent as to extort screams ; he seeks relief 
by pressing on the abdomen,'™. — Very severe lancinating pains in the whole 

t In a woman who used sugar of lead for leucorrlioea. 



PLUMBUM. 49 

abdomen, especially at the epigastrium and umbilicus, slightly increased 
by pressure,"". — Unremitting pain in abdomen, much aggi-avated at inter- 
vals, though mitigated by moderate pressure,"*. — Pain in the whole abdo- 
men, most severe in the epigastrium, and consisting of burning and a feel- 
ing of distension, becoming worse by paroxysms,''^ — Terrible abdominal 
pains, which forced him to roll about in bed, press his hands on the part, 
scream, call for help, roll about on the floor, implore his wife to kneel upon 
his abdomen, whereby he gained some temporary relief,"'. — Spontaneous 
pain in the front wall of the abdomen, aggravated by light pressure, but 
diminished by strong pressure,"'^ — Lancinating pain in bowels,™. — [1750.] 
Rather violent remitting pain, increased by pressure, in the whole abdo- 
men, and especially at the umbilicus,'*'. — Paroxysms of abdominal pain 
(after four days),''*". — Pains in the region of the transverse colon, aggra- 
vated by pressure,™. — Pain in the whole abdomen, more severe at the 
epigastrium than at the umbilicus or hypogastriura ; twisting during the 
paroxysms and compressive between them. During the attacks he in- 
flated or puffed out his abdomen, which gave some relief, as also did 
pressure; he kept changing his position, screamed out, rose from bed, 
struck his abdomen with his clenched fists, etc. ; his face was much shrunken, 
his eyes hollow and dim. Between the paroxysms the abdomen sank 
down ; it felt hard and contracted,'^". — When asked where he feels pain 
he points to his abdomen, and tries long and vainly to pronounce the 
word " ■venire," '"". — Severe tormina and constipation,^"'. — Complained of 
pain in the abdomen, acute and lacerating, not continuous, in the region 
of the umbilicus, and relieved only by pressure of the hand,'™. — Pains in 
the bowels, which took place several days subsequent to the affection of the 
feet and legs,'"^ — Severe pain in bowels, with flatulence,''". — Severe abdom- 
inal pain, but there was. no tenderness, and the pain was rather relieved 
than otherwise by firm pressure; it was often paroxysmal,^'*. — [1760.] 
Constant pains that were seated in the small intestines, sticking, gradually 
increasing, especially in the transverse colon,'. — Pain in abdomen for three 
weeks, and the last few days so severe as to cause him to writhe in agony ; 
pain relieved by pressure,"'.— Considerable pain and tenderness of the whole 
abdomen, but felt more especially at the scrobiculus cordis, not increased 
on pressure (second day),*''. — -Pain in bowels, which first commenced in the 
lower abdomen,"^^ — Dull fugitive pains in the abdomen, which increased 
slightly after eating, and were relieved by pressure ; pains were paroxys- 
mal, more severe at night, and seemed to radiate from the epigastrium to 
all parts of the abdomen; after Continuing for two or three weeks they 
grew more persistent and severe. The pain at this time was wringing, 
griping, twisting, and radiating to various parts of the abdomen. After- 
wards he complained of a feeling of weight in the bowels, tenesmus, and a 
throbbing in the epigastrium. At night it was impossible to sleep, except 
from the effects of an anodyne. He was constantly restless, every moment 
changing his position for the purpose of allaying the violence of the pain, 
and with the hope of finding some relief from a new position ; sometimes 
be would lie crosswise the bed, rise up suddenly to walk, making firm pres- 
sure upon the bowels with his hands, but the violence of the pain would 
soon compel him to discontinue his walk ; he would also resort to various 
means to make firm pressure upon the abdomen, which seemed to afford 
temporary relief; sometimes uttered rending cries,'". — Twisting pains in 
the whole abdomen, especially at the umbilicus ; worse by paroxysms ; 
diminished by pressure,'*^ — Sticking pains in the transverse colon,"'. — 

VOL. VIII. — 4 



50 PLUMBUM. 

Wandering pains in the bowels before the colic,"'. — Contractive pain in the 
upper abdomen, relieved by eating, with increased appetite,^l — Pain along 
the course of the colon,'*. — [1770.] Tension and pain in the abdomen, especi- 
allyin the umbilical region, with hectic fever,"'. — After the convulsive attack 
twisting pains in the abdomen, at times so acute as to extort screams,™. — 
Moderate pain in the whole abdomen ; worse at the epigastrium ; constant, but 
sharper at intervals, slightly increased by pressure. It consists of a feeling 
of twisting or compression,"'. — Attack of pain in the abdomen, which was 
relieved by evacuatious ; this was followed by an uneasiness, nearly con- 
stant, in the bowels, constipation, and by occasional attacks of pain, like 
that described, but less severe; this uneasy sensation led the patient con- 
stantly to hold on, or press his hands upon his bowels,™. — Pain in the 
whole abdomen, but not in a uniform degree ; it is most acute in the hypo- 
gastrium, then the umbilicus and the epigastrium,'^'\ — Sudden pressure on 
the abdomen causes pain; gradual and gentle pressure, on the other hand, 
affords relief,'"". — Between the paroxysms he converses readily, and a vessel 
of hot water placed on his abdomen is promptly pushed away. The pain 
is then only a feeling of compression, the abdomen is quiet and but 'slightly 
contracted, but there is distressing nausea and difficult vomiting. The 
ejecta are green as leeks, and they leave a very bitter taste in the mouth 
and throat. Drinking has no effect on the vomiting,"*. — Constant and 
severe griping pains in the abdomen, attended with but little tenderness 
and no fulness,"". — Griping pains in the abdomen, corresponding to the 
transverse colon,*". — Griping in the abdomen, in the evening,*. — [1780.] 
Griping in the upper abdomen (after six hours),*. — Griping in the forepart 
of the abdomen and rumbling after a stool ; it rises paroxysraally towards 
the stomach, that is sore, like a faintness (second day),*. — Griping in the 
abdomen," ^*'"'™ — Griping pain^ of great severity,^*". — Some griping in the 
lower abdomen (after a quarter of an hour),*. — Violent and obstinate grip- 
ing in the abdomen, '.f — Pains and griping in the abdomen,".J — Strong 
convulsive spasms in the intestines,*'. — Sense of constricture, as if a cord were 
drawn permanently tight around his body, at the navel,^™. — Constrictive 
pain in the abdomen, '^ — [1790.] Most frightful cramps, lasting several 
hours, with retention of stool and urine, and retraction of the a])domen 
(after four days),"". — Violent spasmodic contractions about the abdominal 
cavity ; the pain which it gave rise to was so distressing that he cried out 
like a woman in labor, and the parts became so sensible to touch that he 
could not bear the slightest pressure, not even that of the bedclothes,®'. — 
Constriction of the intestines and other viscera, so that the navel approxi- 
mated the spine and the anus was drawn towards the abdomen,". — Pressure 
and violent colic, with which the abdomen is spasmodically contracted, 
with obstinate constipation,". — Pressive pain in one spot in the abdomen, 
in a line from the tip of the ilium to the symphysis, though nearer the 
former, continuing the whole day, seeming to be rather in the muscles; 
the place was distended,^ — Incessant pressure in the upper abdomen,*'. — 
Abdominal pain, aggravated by pressure,"'". — Abdomen painful on pres- 
sure,*'^"". — Abdomen sensitive to pressure, but no constipation or colic,"". 
— Pressure with the palm of the hand on the abdomen is not much felt; 
with two fingers it is painful,""'. — [1800.] Pressure with the fingers on the 
abdominal region is painful, especially below the eusiform cartilage,^'*. — 

t Efl'ects of the internal use of a preparation of lead for distressing itching. 
j From the internal use of white lead. 



PLUMBUM. 51 

Surface of abdomen very sensitive to pressure,"°l — Pressure on the abdo- 
men gave some relief,'^^'. — Typhus abdominalis with acute uephritis, with 
nosebleed, enlargement of the spleen and liver, but without any marked 
eruption, frequently with hypostatic pleuropneumonia,"'. — Enteritis,^". — 
Soon afterwards he became affected with severe euteralgia, to which the 
patient has ever since been subject, and which has latterly been accom- 
panied by ah exhausting fever,"". — Leucophlegmasia,'^ — Ileus,^° ". — 
Meteorismus (after three days),™ '^'*^^'. — Symptoms of paralysis of the 
intestines and bladder,™. — [1810.] Abdo.iiiual distress,*'. — Uneasiness in 
abdomen,'"'. — Constant abdominal uneasiness, and at times feels as if the 
bowels were twisted,"*'. — Violent cutting pains in the abdomen,''*^ — The 
cutting in the abdomen is relieved for a short time after the stool,*. — Cut- 
ting in the abdomen the whole second day,*. — Heat and burning in the 
whole abdomen (after two hours and a quarter),*. — Burning in the whole 
abdomen internally, and a sensation of twisting about the navel, with 
stitches in the back, and a sensation as if a substance were lying upon it, 
with pains in the pit of the stomach (after two hours),*. — Heat in the ab- 
don)en,'' '"'^. — Confused feeling in the abdomen (first day)'. — [1820.] Sen- 
sation in the upper abdomen as if something were torn off and fell down, 
■without pain, followed by movements in the abdomen (after six hours),*. — 
Movement in the abdomen and desire for stool, but only flatus was passed, 
in the afternoon,*. — Ineffectual efforts to pass flatus, that afterwards is ac- 
complished only by pressure, in the afternoon,*. — Fermentation in the ab- 
domen, with griping in the intestines,'.- — Slight convulsive movement and 
transient pains in the abdomen,".t — Sensation of heaviness and dragging 
in the colon, with ineffectual efforts to evacuate the bowels; the sphincter 
ani remained tightly closed, and would allow neither gas nor faeces to pass, 
and presented an unyielding resistance to the violent contractions of the 
abdominal muscles,'™.— Sensation as if the abdomen were full and stopped, 
in the afternoon,*. — Several pinchings in the bowels (after half an hour),'™. 
— Stitches in the whole abdomen, in the evening,*. — Violent lancinations, 
worse by paroxysms, in the abdominal walls; they are renewed by beuding 
the head on the chest while lying stretched out in bed,'''l — [1830.] The 
patient felt as if the intestines were lacerated with arrows drawn in con- 
trary directions, and piercing the hypochondriac and iliac regions,™. — 
Whole abdomen very sensitive to touch,'"'.^— Painful sensibility of the ab- 
domen,'". — ^Abdomen very sensitive,*". — Abdomen tender to touch ; pain 
aggravated by food,^™. — Tenderness on pressure all over abdomen (third 
day),'"". — Abdominal pain, seldom either increased or diminished by firm 
pressure,**''. — The abdominal pains are considerably aggravated by cold,™. 
— The bowels gradually lose the ability to expel their contents,™. — Relief 
by compressing the abdomen, especially during the paroxysms,"". — [1840.] 
*II{s abdomen seemed to be the centre from which his pain radiated™. — 
Hypogastfium and Iliac Region. Movements in the lower 
abdomen, with cutting pain (second forenoon),*. — Some borborygmi in the 
right iliac fossa,"*'"". — The hypogastrium sounded well on percussion, but 
at every attempt to introduce a catheter into the bladder the pains were 
much aggravated, causing fearful screams ; an entrance was efl[ected with 
some difficulty during the period of remission, but only a few drops of red 
urine were drawn off,"". — The walls of the hypogastrium are very depressed, 
as if excavated, and extremely hard ; the rest of the abdomen is also re- 

f Prom white lead. 



52 PLUMBUM. 

tracted and tense, but to a less degree/". — Sensation as if flatus were in- 
carcerated in the lower abdomen and could not be passed, in the afternoon,*. 
— ^Acute pressing outward pain very low down in the abdomen and down 
to the rectum, a kind of painless desire to pass flatus, that amounts to 
nothing,^ — Oppression over hypogastrium.^'l— Griping in the lower abdo- 
men (fifth and sixth days),". — Griping pain in the lower part of abdomen, 
relieved by pressure,^'^^ — [1850.] Paroxysms of painful constriction in the 
lower abdominal region, with anxiety, nausea, and eructations, and after 
some hours a sensation as if two arrows were drawn through the abdomen 
in opposite directions ; during the paroxysms the pulse became small and 
rapid, and the skin cold,^*. — Twisting pain, at times excruciating, in the 
hypogastrium and testicles,^'". — Dull pains in the hypogastrium and renal 
region,'^^". — Feeling of compression and coolness at the hypogastrium, slightly 
aggravated by pressure, and becoming more severe at intervals,'^l^ — After 
retching she sometimes felt slight pain in the lower part of the abdomen, 
evidently of a myalgic nature, from fatigue of the abdominal muscles,''^'. — 
Very acute tearing sensation extending along the flanks down to the blad- 
der, constant, but with regular exacerbations,™. — Inguinal glands some- 
what congested,*".^ — Increased sensitiveness of the right iliac fossa to hard 
pressure,*". — Right iliac region painful to pressure,'".f — A stitch in the 
left groin on stooping ; on rising up, sticking in the umbilical region, that 
disappeared on stooping; after dinner (after two hours and a half),*. 

Mectum and Alius. — [I860,] When a finger was introduced into 
the rectum during the paroxysms, the sphincter ani, and the bowel as far 
as it entered, closed forcibly upon it; duriog the intermission this was not 
the case,™. — A finger passed into the rectum is forcibly compressed by the 
sphincter and bowel. Injections cannot be retained more than five min- 
utes ; they are rejected hurriedly,^". — Weight in the rectum,'"". — Much 
pain on evacuating bowels,". — It seems as though he would evacuate a 
thin stool, but he does not, immediately, and also later (first day),^ — Vio- 
lent efi^jrts to evacuate, producing hjemorrhoids,™'. — Frequent tenesmus,''". 
— Tenesmus,'". — Tenesmus of the rectum and bladder,"". — Difficult defeca- 
tion,'™. — [1870.] Frequent and urgent tenesmus,''''^ — Itching in the hsemor- 
rhoids; the anus is retracted,'. — (All the hajmorrhoidal troubles disap- 
pear),'.— Itching and burning pain in the perineum and neck of the blad- 
der,^*. — Prolapsus of the anus,*'. — Constriction and drawing up of the anus 
(introtractio ani),'^ — The anus was violently constricted and drawn tip,^^. — 
Difficulty in passing the finger into the anus ; the sphincter contracting 
during the paroxysnis,'™.^Some cutting colic and cutting in the anus, 
during a soft stool (sixth day),^ — Crawling and fine sticking in the rectum 
(after two hours and a half),*. — [1880.] Burning in the anus during stool,*. 
— The anus is drawn inward,™. — Tenesmus in the anus,*. — Tenesmus of the 
anus, which seems shrunken in ; contracted on itself,^". — Pressing-boring 
pains and tenesmus in the anus,'**. — Formication in the anus,'^. — Desire 
for stool, and a watery evacuation (second forenoon),*. — Painful urging to 
stool,"''. — Violent dragging and urging to stool, that was scanty, though of 
a normal color and consistent, with pressure, in the afternoon,*. — Sluggish 
desire for stool, at times ; the stool itself is sluggish, and consists of tena- 
cious fajces,'. — [1890.] Ineffectual desire for stool,^ ; in the afternoon,*. — 
Occasional ineflfectual urging to stool, ^". — Tenesmus and frequent inefiec- 

f An attack of "ileo-typlius " has been reported during the progress of lead- 
poisoning, but tliis has nut been included ii\ the symptomatology.— T. P. A. 



PLUMBUM. 53 

tual urging to stool,''™ — A frequent but ineffectual desire to evacuate the 
bowels,™. 

Stool. — DiarrJicea. Troublesome and constant diarrhoea, at times 
accompanied with a good deal of abdominal pain, and sometimes with very- 
much tenesmus; after various remedies, the bowels still acted three or four 
times a day, the stools being quite liquid ; no blood was passed, but mucus 
sometimes,*^^ — Dysentery ,''lt — Dysentery ,".|— Violent bloody dysentery, 
fever, incessant cutting in the stomach and abdomen, violent eructations, 
so that everything seemed changed to gas,*'.§ — Dysentery,'". — Frequent 
purging of yellow fseces, with pain (third to sixth day),*. — [1900.] jDiar- 
rhma,** ^^^ '*' °^'. — Uncontrollable diarrhosa, in rare casesV*. — Diarrhoea, with 
rumbling in the abdomen, without pain, for two hours,'. — Very profuse 
discharge from the bowels,''. — More or less decided diarrhoea, in some 
cases,''^ — Diarrhoea, whenever he had lead-colic, and at no other time, '''I — 
Evacuates the bowels in bed,™. — Diarrhoea, before the colic,"" ^". — Fre- 
quent offensive diarrhoea,'^'. — Purged once freely (after three-quarters of an 
hour),'™. — [1910.] Some occasional diarrhoea,''". — Diarrhoea, with parox- 
ysms of colic; the evacuations were watery, and contained much mucus,"" 
— Involuntary evacuations just before death,"''. — Diarrhoea, succeeded by 
constipation,"". — Three stools this morning, without his having taken medi- 
cine ; the evacuations are mostly liquid,'^'". — Two stools, since 5 A.M.,™'. — 
Very copious stool, in the morning,"". — Bloody stools, with tenesmus,"'. — 
Bloody evacuations from the bowels,''*"— Yellow diarrhoea,*". — [1920.] 
Rather copious, yellowish diarrhoeic stools,™. — Continually, small, thin, 
black stools,"". — Ascites, with attimes, most violent diarrhoea,''^ — Soft stool 
preceded by movements and flatuleuce (after three hours),*. — Stool at first 
thin, liquid, afterwards in small pieces, of a penetrating odor (first day),". — 
Stools yellow, consistent ; passed unconsciously,"*. — Thick black stool every 
other day,'"". — Extremely fetid black stools,'". — Stool dry, light-gray, tena- 
cious, difficult,™. — The stools are of a decided fawn color,'". — [1930.] 
Fffices smooth and dark-colored,"\ — The excrements were rather darker 
than usual, showing a sufficiency of bile,""'. — Leaden-colored fseces evacu- 
ated by vomiting,*^— Stool leaden-colored,*". — Very offensive stools, with 
most violent colic, soon,"™. — Fseces pale,"'. — (Stool more easy, curative 
action, in one usually constipated), (first day),". — Action of bowels regular, 
but the excrements were varied in their character, sometimes thin, some- 
times globular, sometimes triangular, but nearly always dark-colored. After- 
wards he was constipated. After 6 drops of Croton oil, 1 drop being taken 
every two hours, the excrements were of a triangular shape, covered with 
thin flakes of mucus, and accompanied by a slight haemorrhage,""'. — Evacu- 
ations hard, white, like sheepdung, passed with some effort.'^- — *Fceces in 
the form of balls; often hard, and of a black or green color, ^^^. — [1940.] 
Fseces scybalous,"*. — Stool hard and difficult,"'. — Evacuations hard, ashy 
gray, like sheepdung,™. — "^Evacuation hard and scanty,^. — * Evacuations 
scanty, hard, like sheepdung,^.— H.a.r A scratching stool (second forenoon),*. — 
Stool gomewhat harder and more difficult to pass than usual (first day),". — 
Evacuations at first hard, afterwards with increasing colic (curative ac- 
tion),*". — Stool yellowish, rounded, and hard like sheepdung; as the dis- 
ease progresses they become softer, and at last frequently watery,"". — Evac- 

f From the internal use of white lead. 

j From drinking water that had stood in a leaden vessel. 

\ Alter the excessive use of sugar of lead in gout. 



54 PLUMBUM. 

uation hard, with pressure, with a sensation as if something were pressing 
that caused sticking, in the morning; in the afternoon, three soft stools 
(fourth day),*. — [1950.] *Stools indolent and constipated"^. — Difficult stools 
before the colic,'".— Difficult stools,™™.— Irregular stool,''^— Stool every 
other day.l — Stool tough, indolent, at last streaked with blood/. — Evacua- 
tions indolent, difficult,*". — In three days there were only two scanty evac- 
uations of hard fseces, like sheepdung,'". — Stool only every two or three 
days; h\a.ck\sK"— Constipation. *Constipatioii,^ ''^ **"*, etc.— [I960.] 
Obstinate constipation," ^^ ^° ™, etc. — Bowels obstinately constipated, except 
that a few times he has had slight diarrhoea, and once a mild attack of 
dysentery,'"". — Obstinate constipation, evacuation of neither flatus nor 
ffeces,*^ — Such obstinate constipation, that he passed neither stool nor flatus 
for fourteen days,™l — Obstinate constipation ; he often went to stool and 
thought he had a passage, when there was only tenesmus,'"". — -Excessive 
constipation, with paroxysmal colic,'''^ — Most obstinate constipation, with 
violent pain in the epigastric region and back,™. — Obstinate constipation, 
aggravated by purges, that caused the evacuation of small hard balls of 
fasces, with great eflbrt,^*. — Constipation and tormina,'*'. — Constipation, 
with violent colic.'^f — [1970.] Constipation increased to such an extent, 
notwithstanding the medicine, and careful dietetic management, that Assure 
of the anus took place, although the bowels acted nearly every day,*"l — 
Constipation, at first conquered by injections, now became more obstinate. 
The injections formerly retained in the bowel only in part were now re- 
tained entirely ; the gases and liquids accumulated in the intestines pro- 
duced under the pressure of the hand, a loud gargouillement, which could 
be heard at some distance ; a sensation of fulness, and a pressing desire of 
going to stool, induced efforts without result ; the sphincter ani remained 
contracted, and gave exit to neither gases or liquids, thus offering an in- 
vincible resistauce to the strong contraction of the abdominal muscles,'"". — 
Bowels usually constipated, though in more than usually protracted cases 
diarrhoea existed,**^ — Constipation, with severe pains in the abdomen,*'". — 
Could never relieve her bowels except by taking enormously strong medi- 
cine,*"*. — Constipation, neither stool nor flatus is evacuated,^'. — Constipa- 
tion, with nausea and vomiting,"'. — Constipation, attended with a disagree- 
able sense of heat in bowels,™. — Constipation in some, and in others tenes- 
mus and small bloody stools,^". — Difficult stools,"l — [1980.] Neither stool 
nor urine the whole first day,*. — About two weeks ago bowels became slug- 
gish, and now has but one discharge in two or three days,'^^ — Has suffered 
constantly from constipation, for the last seven years,**'. — Constipation and 
lead colic, two or three times,"**. — Stool only once in eight or ten days, of 
scanty, blackish, fseces, whose expulsion caused acute suffering^^. 

Urinary Organs.— Kidneys and Bladder. Three years pre- 
viously, the patient had been in the hospital with albuminuria and casts in 
the urine, but when discharged these symptoms had disappeared ; at that 
time he had no brain symptoms except headache ; on this occasion, the 
urine, which was retained in the bladder and had to be drawn with a cath- 
eter, contained albumen and a large number of casts ; two days subse- 
quently there was anuria, trismus, opisthotonos, convulsions followed by 
loss of mind; during the attack the tongue was badly bitten, the pupils 
contracted and indolent; on the following days the amount of urine, in 
spite of treatment (an infusion of squills), 600 and 700 c.cra. ; the urine 

-|- Effects of large doses of sugar of lead, taken for gonorrhoea. 



PLUMBUM. 65 

for twenty-four hours contained 17 grams of urea ; the patient did not 
have another spasm, though he suffered from most violent pains in the upper 
and lower extremities ; after this the amount of urine increased, the urea 
rose to 39 and 41 grams, the albumen diminished, the pus disappeared, 
and the mind became free, but after about two weeks he was seized with 
erysipelas, from which he died.^'^.f — Chronic nephritis is a frequent affection 
in cases of lead poisoning ; its development never accompanied by acute 
symptoms,™. — -Acute nephritis, with fever,^*'. — Lacerating pain in the 
renal region, aggravated at the same time with the abdominal sufferings, 
and, like them, diminished by friction and pressure,"". — Severe pain in the 
vesical region,'*".— [1990.] Bladder distended,*™. — Paralysis of the sphincter 
of the bladder, which allowed the urine to pass guttatira,™. — Tenesmus of 
the neck of the bladder,^". — When the paroxysm of pain has subsided, the 
sound is easily introduced (into the bladder), and without pain ; attempt- 
ing to introduce the sound during the accession, causes great increase of 
the pain,^°*. — Bladder inactive; difiicult urination,*"'.^In one of the cases, 
the sphincter vesicae did not permit the urine to pass for more than thirty- 
six hours, so much so, that the bladder extended up to the umbilicus ; iu' 
the same patient the whole of the genito-urinary apparatus was especially 
affected. At times the testes were retracted into the inguinal canal, occa- 
sioning most excruciating pains in the back, loins, scrotum, and peri- 
neum,^"". — The patient had not passed water for thirty-six hours, and the 
bladder felt bloated. I examined the region of the bladder externally, 
but on account of the excessive tenderness, could not positively ascertain 
whether it was full or not; on passing the catheter I found it entirely 
empty, with the exception of a few drops of bloody mucus ; there was in 
this case complete suppression of urine*'". — Painful sense of constriction 
towards the neck of the bladder, difficulty of introducing a sound into the 
bladder,™". — Induration of the prostate,^".! — Urethra. Retraction of the 

t The post-mortem showed a very easy separation of the suprarenal capsules, the 
upper surface of the kidney granular, the parenchyma very moist, the cortical 
gray, somewhat reduced in size, the malpighian corpuscles not distinct, the pyra- 
mids gray- Under the microscope the kidneys presented an exquisite picture of 
interstitial nephritis in a rather early stage; the cortical substances especially pre- 
sented in both transverse and vertical s,etii\on%, great cellular hyperplaxia and increase 
of interstitial connective tissue, though the process was not equally diffused ; while fre- 
quently the whole field was occupied by small cells of connective tissue with scarcely 
a trace of uriniferous tubes, othi-r sections exhibited the tuberolesof normal size and 
configuration, but separated by abnormnlly broad septa of connectice tissue ; the glom- 
eruli presented varying characters, some normal, others atrophied to fibrillar /emits tf 
connective tissue, and others in all possible stages of degeneration. The substance of 
the pyramids was less affected than the cortical ; the growth of connective tissue 
was here much less pronounced, and in many places was not noticed at all ; the 
tuhes were for the most part denuded of epithelium. The small arteries of the kid- 
ney showed no remarkable change; in the transverse section was seen a very broad 
zone of connective tissue; hyperplasia thickening of the walls and contraction of 
the calibre of the vessels were not noticed. The intertubular capillaries in bcth 
the cortical and tubular portions of the kidney were excessively filled ; in the latter 
there were numerous spots of hsemorrhages into the urinary canals, and here and 
there the cavities of the urinary canals were found stopped by old plugs, and by 
some calcareous concretions. The liver showed analogous changes of hyperplasia 
of connectioe lissue, in some places even tubercular nodes of connective tissue growth. 
The heartshowed infiammatory connective tissue growth, with chronic myocarditis ; 
in some places very broad septa of small-celled connective tissue was formed be- 
tween single muscular fibrillfe. (Microscopic examination of other parts of the 
body cannot be detailed here. — T. F. A ) 

J From the injection of liquor Goulardi, for gonorrhoea. 



56 PLUMBUM. 

urethra/^ — [2000.] Pain in the urethra where it leaves the bladder (fifth 
day) 5_ — Qreat smarting along the urethra on commencing micturition,^''. 
— Burning, during, and still more after micturition (second day),*. — Scald- 
ing on m\clnnt.ion,^^\—3Iicttirition and Urine. Very frequent 
urging to urinate, with burning along the urethra, but only a few drops 
are discharged at a time,'*'. — Frequent ineffectual urging to uriuate,^''^— 
Desire to urinate, fruitless efforts, or the urine passed drop by drop,''®.— 
Frequent desire to pass urine, which was painful; urine often high'-colored, 
and depositing a lateritious sediment,™. — * Quite frequent vesical tenesmus; 
ineffectual urging to urinate; sometimes after much effort, which increases the 
pains, urine passes guttatim. He urinated twice in twenty-four hours, 
during remissions, to the amount altogether of about a glassful. Bladder 
not distended. Catheter passed with difficulty ; the operation caused great 
uneasiness, and almost threw him into convulsions,'^'^*. — Sometimes urging 
to urinate, which either was ineffectual, or the discharge required great 
effort, and much increased the pains,'^". — [2010.] Frequent vesical tenes- 
mus, with much ineffectual urging to urinate ; only half a wineglassful 
was passed in two days,™. — Desire to urinate, with inability to pass urine 
immediately ; it was retained ; in the forenoon, disappearing in the after- 
noon (second day),*. — Pain and difficulty in passing urine (after one 
year),^'^'. — Frequent tenesmus, and ineffectual urging to urinate,"'''. — Fre- 
quent desire to urinate ; micturition always scanty,*''". — Micturition pain- 
ful,*™. — Unconscious discharge of urine and faeces,'" ""'*'. — Urine passed 
unconsciously,"*™'. — The patient passed urine involuntarily during the 
epileptic spasms,**". — Frequent micturition, of the usual amount, in the 
afternoon (first day),*. — [2020-] Copious secretion from the kidneys,''. — 
Greatly increased discharge of urine,'^ — Awoke at 4 a.m. to urinate ; more 
than usual was passed ; followed by pain in the abdomen as after taking 
cold; it disappears after the emission of flatus, which is followed by stick- 
ing in the abdomen (second day),*. — Frequent difficult micturition of scanty 
urine,*". — Some difficulty and pain in urinating, so that he thought he had 
contracted gonorrhoea,™.^ — Difficult and sometimes painful micturition,'"*. 
— Micturition difficult, and only effected by a forcible contraction of the 
abdominal muscles, which aggravates the pains,''*. — Difficult, even some- 
what painful, micturition,"'. — * Difficult micturition, a little at a time,^'^. — 
Difficult urination, with much effort,"".— [2030.] Difficult micturition,'*™ 
"°, etc. — Great difficulty in urinating ; there was great difficulty in passing 
the catheter, but the subsequent history showed no permanent stricture,*". — 
Evacuation of urine difficult and hindered, also complete suppression,". — 
Great difficulty in urinating,*^*. — * The urine is passed only by drops and 
always with difficulty,^^, — Urine voided seldom, and in small quautities,'". — 
Micturition less frequent than usual by seven or eight times,"*. — Discharge 
of urine very much diminished,"". — At times she could not pass urine,'". — 
Urine could be passed only during the remission of the abdominal pains,'". 
— [2o40.] Paucity of secretion from the kidneys, and high-colored,"*. — 
For some time there has been incontinence of urine at intervals betweeil 
the epileptic seizures,™. — Incontinence of urine,"'". — Micturition infre- 
quent,"^ — Retention of urine,*". — Secretion of urine completely sup- 
pressed,'*.! — Suppression of urine,'* "*** '"*""*. — Repeated attacks of stran-. 
gury,'"". — Retention of urine, with great distension of the bladder,"**. — Re- 
tention of urine (in one case lasting thirty-six hours, so that the bladder 

f Prom large doses. 



PLUMBUM. 67 

rose as far up as the navel),™.— [2050,] Eetention of urine during the 
colic,*^'. — Complete retention of urine; the catheter could not be intro- 
duced for three days,"'". — Dysuria,™'*. — Violent dysuna,'^^ — Ischuria,". — 
Ischuria, with inflammatory fever,°^ — Strangury,"^; in five cases,'"". — 
HEematuria,'"'. — A large quantity of urine, of sp. gr. 1008, half of which 
became solid on boiling and adding nitric acid ; blood-discs were abun- 
dantly seen under the microscope, but no casts; when he began to recover 
the albumen gradually diminished in quantiiy {as I discovered less lead-in the 
urine), and at last totally disappeared, but has occasionally a little, per- 
haps one-fiftieth part, albumen ; later, albumen rapidly increased, and there 
was not an atom of urea in it, its sp. c/r. being 1002,''''. — Voided a large 
quantity of urine, which afforded a sensible quantity of lead,™. — [2060.] 
Secretion of a large quantity of watery urine, on the surface of which a 
pellicle had been observed after standing (the same had been noticed about 
a year previous and occasionally since then) ; the pellicle was of pearly 
whiteness (it looked exactly like spermaceti), with a distinct metallic lustre; 
it left a greasy mark on the paper in which it had been wrapped ; i. e., 
fatty matter mixed with lead in some form ; the color was natural ; reac- 
tion acid, but not strongly so; sp. gr. 1022; no albumen ; on standing for 
an hour, deposits a light flaky sediment (one-fourth), showing under the 
microscope only a few granules (mucous), and a solitary cell of renal epi- 
thelium, containing several fatty globules,*°^ — Urine scanty, yellowish- 
brown, turbid, sp. gr. 1019, albuminous, sediment consisting of a large 
number of tubular crystals of uric acid, perfectly hyaline cylinders, to 
some of which adhered cells similar to white blood-corpuscles, to others fat- 
drops ; this was associated with epileptiform spasms, with complete loss of 
consciousness, during which the temperature was 40°, pulse 140,"'.t — In 
the first stage, when the poisoning is of recent date, and there are colics 
and vomiting, there is generally a very notable diminution of the urinary 
secretion ; it falls sometimes to as little as :^ or ^ of the normal quantity ; 
the density is augmented, but not proportionally to the diminution in quan- 
tity, as is the case in simple oliguria; there is, therefore, a diminution of 
the extractive matters contained in the urine ; the urea is from six to seven 
times less in quantity; the phosphoric acid, uric acid, and chlorides are 
less, but the coloring matters are ten to twenty times more abundant than 
normal. In the second period, the vomiting and colic have disappeared, 
and the lead is introduced into the various organs, and acts upon their 
functions; the quantity of urine still remains a little below the normal 
point; the extractive matters are still less in quantity, the urea being only 
half the normal quantity ; the same may be said of phosphoric and uric 
acids ; the quantity of coloring matter is still very great. In the third stage 
there is ausemia, and the intoxication is confirmed ; there is a permanent 
alteration of the urine, characterized by a less quantity and density, and 
notable diminution of the urea and phosphoric and uric acids ; whether 
this diminution is dependent upon some disturbance of assimilation, or is 
connected with a certain degree of impermeability, is still a doubtful point; 
nevertheless, as we find double the quantity of normal excrementitious 
matter present in the blood, we may rather ascribe their diminution in the 
urine to impermeability. Lastly, to anaemia, is coupled albuminuria ; the 

t It was possible that the epileptic attacks were not dependent upon the disease 
of the kidneys, since the patient inherited epilepsy from father and mother, and 
had suffered from it for many years. 



58 PLUMBUM. 

quantity of urine secreted is very variable, sometimes approaching the 
normal ; but the density is very low ; the extractive matters are consider- 
ably diminished; and whether albuminuria exists or not, we do not observe 
any increase of the quantity of uric acid in the blood ; nor is uric acid 
found in the serum of a blister,*"". — Diminished urine,''". — Urine scanty, 
and easily discharged,'". — Urine very scanty, and passed only once during 
the last twenty-four hours (tenth day),"". — Ui'ine ])assed a little at a time ; 
frequent ineffectual desire to urinate,™. — Urine seanty,^^^"^^"^^". — Urine 
scanty, often retained for nineteen hours,'''. — Cerebral affections and amau- 
rosis, with albuminuria ; the amaurosis is supposed to depend upon the 
chronic nephritis, which is produced by lead ; this view is supported by the 
circumstance, that in several cases, the amaurosis and the cerebral (usually 
epileptic) symptoms appeared and ceased coincidentally with the appearance 
and cessation of the albuminuria,*^'. — [2070.] Large quantity of albumen 
in her urine, the sp. gr. being only 1010; when she began to recover the 
albumen gradually diminished in quantity, as I discovered less lead in the 
iirine, and at last totally disappeared,*''*. — Albumen wafe present in the 
urine ; the albuminuria was either merely temporary, ceasing by the tenth 
day, or it was continued up to and after the patient's dismissal from the 
hospital. Lead was discovered several times in the urine,*''^ — Four cases 
in which albuminuria existed during life, and nephritis was found after 
death ; three of them were chronic, one comparatively recent,*^'. — Urine 
heavily albuminous, without any oedema (in several cases),'". f — Urine very 
heavily loaded with albumen, containing epithelial casts (and traces of 
lead),'". — Urine albuminous, containing numerous cells from_the kidney ,'" 
— The urine contained a trace of albumen,*'*™. — * Urine very albumin- 
ous ™ '"* ^"^ ^''^. — * Urine albuminous, sp. gr. 1024, scanty, dark brown,™. — 
The urine contained a large amount of albumen ; 150,000 grams of urine 
contained 12 grams of urea,^". — [2080.] Urine very albuminous, dimin- 
ished in quantity to ^ litre in twenty-four hours, sp. gr. fell to 1009,*'"'. — 
Urine yellowish-brown, acid, clear, sp. gr. 1030, albuminous, containing 
numerous granular cylinders; after treatment, principally with Croton oil, 
the albumen gradually disappeared from the urine, though the sp. gr. re- 
mained high (no sugar),**'. — Later, the excretion of albumen in her urine 
has been gradually increasing, the sp. gr. being always under 1010, and 
often as low as 1002, with a very minute quantity of urea.''^ — Urine albu- 
minous, containing numerous isolated cells from the kidney,'*". — Urine al- 
buminous; sp. gr. lOlO,*"". — Urine albuminous,'*" '*^ *** "'• ^'^. — Urine slightly 
alkaline, containing traces of albumen (and of lead, 1.95 grams to the 
litre),'^". — Secretion of kidneys scanty, and of a deep-red color,^". — Urine 
red, soon decomposing, and becoming thick with flaky clouds,**'. — Urine 
(drawn by catheter) red and acid,'™. — [2090.] Scanty red urine, easily 
discharged,"''. — Urine red and acid,*** "'.—Urine reddish, fiery,*'. — Urine 
looking like Malaga wine, and of neutral reaction ; slight film of uric acid,""*. 
— Only one-third or one-quarter of the normal amount of urine passed,™. 
— Scanty and high-colored tirwie,** '""*" '**. — Urine dark-colored, brownish- 
red, turbid, withflocculent sediment, sp. gr. 1017, acid, albuminous; sediment 
consisting^ of a number of red blood-corpuscles, and a large nnmber of short, 
rather thick, turbid cylinders, beset with red blood-eorpusdes ; the patient pre- 
sented all the symptoms of acute, dif use nephritis,*'". — Urine " heniapheique," 

t Autopsy showed the kidneys smaller, the surface griinuUited, the uortieal sub- 
stance dark-yellow, and atrophied. 



PLUMBUM. 59 

mahogauy-colored ; yielding, by M. Gubler's process, a thin pellicle of uric 
acid.''^ — Urine high-colored, depositing much lithates on cooling,"".— Urine 
very scanty, 4 to 6 ounces in a day, and high-colored,™.— [2100.] Urine 
scanty, high-colored, and sometimes voided with difficulty,'^'. — Urine usually 
of a deep-yelow color, but clear. Now, not very turbid, but of a reddish- 
araber color, containing much albumen, and a large proportion of uric 
acid,™. — Urine dark, brownish-red,'°*. — The urine was rather more colored 
than natural, but did not present that peculiar play of colors with nitric 
acid, said to be indicative of the presence of bile,™. — Urine transparent, 
high-colored, not at all yellow,'*'. — Urine brnwn-yellow,"'^ — The urine be- 
comes dull yellow,"'. — Urine orange-colored,'"""'. — High-colored urine," 
— Urine dark-colored,'™. — [2110.] "''Urine dark-colored and scanty, evacu- 
ated by drops,"*. — Urine scanty and dark-colored,"'. — Urine dark-colored 
and turbid,^**. — Yellow, acid urine,'". — Urine clear, of a pale lemon-color, 
and without sediment; alkaline, although heat and nitric acid showed no 
albumen. It turned red litmus-paper blue at once, but had no effect on 
touruesol-paper,™'. — Urine " hemapheique " in the first degree, i. e., merely 
amber-colored; copious deposit of minium,*''^ — Urine acid,"'"'. — Yellow, 
acid urine,'*l — Urine plentiful and limpid,"" "^ — Urine pale, bright, spe- 
cific gravity 1015,'". — [2120.] Urine pale,'".— Urine scanty and limpid,"". 
— Urine alkaline but not albuminous,™. — Urine plentiful, pale,"'. — Urine 
usually acid, contained much lithates during the first few days under ob- 
servation ; the specific gravity ranged from 1015 to 1025 ; no albumen was 
ever detected. In two cases the urine was alkaline, and contained phos- 
phates in considerable quantity ; becoming, however, faintly acid in a day 
or two, and remaining so throughout,"". — Lead in the urine,""*''*. — Urine 
alkaline, not albuminous,"". — Urine contains a little sugar and mucus, no 
albumen,*"*. — Urine free from albumen, sugar, or lead, and is generally 
natural, but occasionally loaded with a dark-brown sediment,™. — Urine 
natural, but watery in color,*^ 

Sexual Orf/ans. — 3Iale. [2130.] Peculiar weakness of the geni- 
tals. (H. and T.)"!" — Slight jerking in the spermatic cord, in the morning; 
in the afternoon, stitches in the place where it leaves the abdomen (first 
day),'. — The pains return by paroxysms, during which they are quite se- 
vere, extending all along the spermatic cord into the left testicle, which 
then appears retracted ; between the paroxysms the colic is slight or, in 
general, altogether absent,'". — Frequent erections, with spasmodic retrac- 
tion of the testicles, and even with emissions during the colic,'"".— Erections 
in the morning,*. — Flaccidity of the penis,'". — The penis is as painful as the 
abdomen,'''^ — The patient experiences a sensation as if the penis were tied at 
its root or along its course with a cord,'"".| — Biting on the frsenum preputii, 
and emission of semen. (H. and T.)§ — Violent inflammatory swelling of the 
scrotum and penis, with violent inflammatory dysuria, constipation, delirium, 
and on the ninth day, gangrene of all these parts, followed by death on 
the tenth day,".|| — [2140.] Constriction of the scrotum, so that at times 
the testicles were drawn up into the inguinal canal, with the most fearful 
pains in the small of the back, scrotum, and intestines,'''". — Constriction of 
the scrotum,". — Soreness of the skin of the scrotum and thigh wherever 
they touched, after the perspiration,'. — Great swelling of the testicles,^\T[ — 

t From Plumbum muriate. 

J Attributed by Stoll and Dance to sudden, contraction of the urethra. 

I Prom Plumbum muriate. 

II Prom the external use of aqua Goulardi for gonorrhoaa and phimosis. 
'H From the external use for spermatorrhoea. 



60 PLUMBUM. 

Swelling of the testicles,". — Retraction of the testicles at tinnes,". — During 
the paroxysms both testicles were forcibly retracted,™. — Daring the parox- 
ysms the right testicle only rose toward the inguinal ring/™. — Constriction 
of the testicles/^. — Tension in the testicles,'. — [2150.] The pain in the testi- 
cles was somewhat relieved by suspending thera with the hands,^™. — Great 
pain in the testicles and spermatic cord, and also painful drawing in these 
organs, and contraction of the scrotum,'"'. — Pain in the testicles, relieved 
by compression,'''^ — ^Shooting pains through testicles of such severity as 
almost to produce fainting,"^ — Retching pain in the left testicle, that at 
times seems to extend into the spermatic cord (fourth day), I — Pains in left 
testicle,*". — Emission of. semen during sleep, quite unconsciously, after 
drinking wine, and the next morning, violent erections on every slight 
provocation ; several nights in succession,'. — Emissions. (H. and T.)"}" — 
Emissions, during the morning sleep, with voluptuous dreams (sixth day),^ 
— Very scanty emission of semen during coition (fifth day),''. — [2160.] In- 
voluntary seminal emissions, three or four times a week, causing great de- 
bility,"". — Great inclination to coition. (H. and T.)J — Diminution of sex- 
ual desire,™. — Diminished sexual desire,".§ — *Loss of sexual desire,^^*"^^'^. 
— Anaphrodisia, of the same duration as the lead line on the gums 
and the urinary symptoms,*"". — Seminal weakness,^^'. — Impotency," — Com- 
plete impotency (secondary action ?). (H. and T.)l| — Sterility in a man,'". 
— [2170.] From one hundred and forty-one pregnancies by fathers labor- 
ing under the effects of lead poisoning, there were eighty-two abortions, 
four premature births, and five still-born infants. Of the fifty children 
born alive, twenty died in a year and a half, fifteen in a year and three 
months, fourteen survived longer, but of these only one exceeded three 
years of age, a period of life when children may be regarded as having 
escaped this fatal influence,^". — Among seven women who had nothing to 
do with lead whatever, but whose husbands were subjected to its influence, 
there were thirty -two pregnancies, resulting as follows: eleven abortions, 
one still-born child, eight full-term children, which died in their first year, 
four that died in their second year, five that died in their third year, and two 
only that are now alive, one of them being only twenty-one months old,*^'. — 
Female. — Vaginismus,*** *''^ — Four women had fifteen pregnancies, dis- 
tributed as follows, viz., ten abortions, occurring between third and sixth 
month ; two premature births, the children dying soon after birth ; one 
child still-born; one delivery occurring at the full period, but the child 
died the same day ; out of these fifteen cases only one child was born alive 
that did not show any symptom of lead diathesis. Five women had given 
birth to nine children before they were subject to the influence of lead 
poisoning ; the children were healthy and alive ; neither did the mother 
suffer from any menstrual irregularity ; but after going into the type-clean- 
ing works, they had together thirty-six pregnancies, distributed as follows : 
twenty-six abortions, from the second to the sixth month of pregnancy ; 
one premature birth, the child dying soon after ; two children still-born ; 
seven at full term, of whom four died in their first year, and one in his 
second, and only two still alive, one of whom is very delicate and anseraic. 
A woman after having five abortions, left the type-polishing works, and 
after recovering from the effects of lead poisoning, gave birth to a healthy 



f Prom Plumbum muriate. 

■j From Plumbum muriate. 

J Prom binding a lenden plate on the lumbar region. 

11 Prom Plumbum muriate. 



PLUMBUM. 61 

child, still living. A woman left the works for a time and then went back ; 
during the time she was under the influence of lead poisoning, she fre- 
quently aborted, but during the interval she was absent from the works she 
gave birth to a healthy child,"". — Previous to her present employment, she 
had been delivered of three healthy children at full term, still alive ; but 
since her employment as a type polisher, she had suffered much from ill- 
health, an attack of painter's colic three months after beginning this work, 
and again four years later ; shortly after second attack she became preg- 
nant, and was delivered of a dead child ; three years elapsed and she had 
a miscarriage at the fifth month of her pregnancy ; she had become preg- 
nant eight other times, and each time after a short suppre.ssion of the 
menses, and the delay of two or three months, she miscarried, character- 
ized by an abundant menorrhagia, and accompanied by colicky pains at 
the time,"^ — Miscarriage in the second month of pregnancy, and in the 
third month of the next pregnancy ; in the following pregnancy she suf- 
fered from alternating constipation and diarrhoea, did not miscarry, but 
the child was emaciated, and was a pitiful object, and lived only one month ; 
she passed through the next pregnancy, but the child was very slighc, 
weighed only 2600 grams ; at this delivery she suffered from inertia of 
the uterus and post-partum haemorrhage, wJhich was arrested by compres- 
sion of the aorta, removal of the clots, and by ergot ; having now left her 
occupation of painting (she had a bad habit of holding the brush between 
her lips), she passed through her subsequent pregnancy with a more robust 
child than before, weighing 3200 grams, without haemorrhage; this infant 
lived,"'*. — About the third week in October, began to experience a " tired," 
heavy feeling of pain in the lower limbs, particularly her knees ; the same 
pain was soon felt about the navel and in the groin, giving the sensation of 
a cord pulling down, and extending to the very lower part of the bowels ; 
soon a similar pain was felt in the shoulders, back, arm, bauds, fingers, 
feet, and toes, particularly over the tops of the feet and hands,. She suf- 
fered the characteristic nausea of pregnancy for the first two months, none 
afterwards, until December 31st, when she was seized with vomiting, with 
an increase of all the symptoms just named, until it closed with abortion, 
January Oth,^*". — From twenty-seven pregnancies, occurring in five women, 
there resulted twenty-two abortions, four still-born, and only one living 
child. From forty-three pregnancies occurring after lead poisoning, thirty- 
two miscarriages, three born dead, two living, but puny children. One 
woman who had had five miscarriages left the occupation, and gave birth 
to a fine baby. According as women left offer resumed the business, their 
children would be born alive or dead,*""". — Miscarriage and death,"'. — Mis- 
carried four times,*". — -[2180.] Miscarriage at seven months of a dead 
foetus, followed by death,™. — Frequent miscarriages in women, almost 
habitual,'"*. — Miscarriage,**l — Miscarriage in the third or fourth month of 
pregnancy, with persisted haemorrhage for five weeks,*^l — Of twenty-nine 
pregnancies among women who gave but slight evidence of lead poisoning, 
there were eight abortions, one premature birth, twelve at full term, which 
died in the first year of their life, eight children still living,*'". — Premature 
delivery,*'^". — Has had two children, of whom one survives, but is feeble. 
Within thirteen months has had a miscarriage, followed by peritonitis,*". — 
Abortions occurring between the third and sixth months of pregnancy,*^". — 
The menses, which had ceased for two days, returned (after one hour),™; 
(after four hours),"'. — Upon each occasion the normal menstrual flow fias 
ceased, although when otherwise employed, it has came on regularly enough ; 



62 PLUMBUM. 

has not menstruated for three months,^^'. — [2190.] Before this time she 
menstruated quite regularly, but so long as she followed this occupation the 
menstrual flow ceased. Upon giving it up, which she was compelled to do 
on several occasions, it returned,™. — Menses have been absent for four 
nionths,"*^ — In a short time after this, although quite regular previously, 
she ceased to menstruate. During these four years she has been afflicted 
many times in a similar way, whenever she returned to the same employ- 
ment,"'. — Catanienia absent for fourteen months, until a month ago, when 
they appeared scanty,'"". — Disturbance of the menses,''. — Leucorrhoea. (H. 
and T.)t. — Menorrhagia,*'^ — All the women suffered more or less from 
menorrhagia. Occurrences of severe haemorrhage, which he considers as 
abortions in many cases,""- 

Itesxriratory Ortjans. — S[)asm of the respiratory organs,^". — Con- 
striction of the larynx,*". — ^2200.] Dry mucus in the upper part of the 
trachea, that he could loosen only with difficulty, and not without some 
pain in the chest, with whistling in the upper part of the chest on inspira- 
tion (second day),l— Intense general bronchitis,'*". — Voice. Rough voice, 
with hacking cough,'^ — Rougli, hoarse voice,'^ — Voice hoarse, almost tone- 
less,*^'. — Voice hoarse,®". — Voice nasal,"^^ — Voice toneless, hollow,°*°. — ■ 
Voice loud,'"". — Voice a good deal altered, and the tones of the voice 
much impaired,'^*. — [2210. J The voice has lost much of its resonance, and 
is weak, like a woman's ; articulation is impeded, and sometimes even in- 
complete,'*''. — Voice panting, stifled ; he can scarcely make himself heard,^". 
— His voice is weaker than usijal,"'^ — Voice very weak,"*. — His voice 
(which had been a little weak for some days previously) began to fail hira 
one evening while he was reading aloud,*"'. — Voice weak and dull,*". — 
The voice is weak and husky ,'''^ — Voice became very weak, talking'very 
difficult,^". — Voice very weak, with imperfect utterance (tenth day_),^*°. — 
The voice had partly lost its strength and resonance,'**. — [2220.] Voice 
feeble,®*"'. — Voice weak,'*". — Forthree orfour months she noticed thatwith 
each return of the catamenia her voice became noticeably weaker, until it 
became merely a faint whisper, in which state it remained a period of six 
years and a half. Even a short conversation caused great fatigue of the 
muscles of the chest. This was at once explained by the laryngoscopic ex- 
amination, which showed that there was not the slightest approximation of 
the vocal cords on attempting to speak, and the glottis remaining widely 
open ; a large volume of air was required to be forced through it in order 
to produce the faint whisper above mentioned. This demanded an effort 
of the expiratory muscles, which was very fatiguing,*,**. — Voice almost ex- 
tinct,'*' °*". — She lost her voice for about eight weeks, at the end of which 
time it returned,™. — Violent cramp, at night, in the left leg; it ascended 
up the entire body, and affected the throat, so that for a moment he could 
not utter a word. The difficulty of speaking lasted fifteen days, but grad- 
ually dimiui^^hed, until he could speak as well as before,'"' — Aphonia,'' 
«69 5ii5«7_ — Aphonia permanent,^""- — Co itr//i, and Ejcpecto ration. 
Cough,""*'"'". — Cough at first dry, afterwards moist, with expectoration of 
mucus, finally accompanied by fever,^'*. — [2230,] Cough in two paroxysms 
(third day),*. — * Cough, with purulent expectoration,^''. — Convulsive cough,*. 
— Hacking cough,'"". — *I'requent cough, with bloody expectoration^'''^. — 
Dry cough,'. — Dry cough, with frequent vomiting,'"". — Dry cough on 
deep inspiration,''^ ™. — *Short, dry, nervous, fatiguing cough,^"'. — Coughed 

f From Plumbum muriate. 



PLUMBUM. 63 

up bloofl for three days, having lost altogether about half a pint ; afterwards 
an attack of spitting of blood, without cough,'"'^ — [2240.] Hasuioptysis 
with fatal suppuration of the lungSj^'-f — ''^ Cough, with bloody expedora- 
tion^'^\ — Slight cough, caused by dry mucus in the upper part of the chest, 
in the moruiug (first and second day),'. — liespiratioit. Some rales, ou 
auscultation, at the apices of both lungs, perhaps merely from brouchitis. 
Says he has no habitual cough, does not sweat, and is not emaciated,"'". — 
During the paroxysms the inspiratory movements become hurried, incom- 
plete, and noisy, as if held in check by the pain,^". — Real asthma at times,'"" 
— Asthma,'"*^. — Respiration easy and regular,'''. — Respiration in short, 
rapid jerks (first day),™. — Rapid, painful respiration,"'*. — [2250.] Respira- 
tion rapid and anxious,^'" ''". — The breathing was intermittent. Tiie aver- 
age time of the intermissions was about forty-five seconds. I never counted 
less than thirty seconds. Forty-five to fifty-five seconds were common, and 
in the latter part of his illness I oi'ten counted seventy seconds. To be per- 
spicuous, there were two periods, one the respiratory, and the other the non- 
respiratory period. The number of respirations ranged from nine to six- 
teen, not per minute, hut per respiratory period. The longest re?piratory 
periods marked the shortest non-respiratory periods, and vice versa. In his 
best condition the time consumed in the two periods was about one minute. 
Then he had a comparatively refreshing sleep, and his respirations resumed 
without so much panting, and he would not generally be awakened,""". — • 
Respiration very quick, especially during the paroxysms of colic or arthral- 
gia, when it is 68, and accompanied by a sort of noise at the entrances of 
the nose and mouth,"'''. — During the paroxysms respiration considerably 
accelerated, sometimes it was suddenly arrested by a violent attack of colic, 
when it would become interrupted and choking,''". — Breathing short and 
rapid,*"". — Respiration, 120,'"". — Respiration extremely rapid, ;>5 per min- 
ute,'"*. — Respiration during the paroxysms, 65 per minute ; between them 
35 per minute,"'. — Respiration 48 ; quite incomplete, short, suffocating; a 
kind of jactitation was also observed ; during the intermissions, respiration was 
more regular and less frequent, but the utterance was always panting,'""'. — 
Respiration 35; anxious, difficult, irregular, especially during the paroxysms 
of colic,'''".— [2260.] Respiration 30 to 40,™.— Respiration 30; short and 
rather quick (during the paroxysms) ; 25 (between the paroxysms),'"''. — Res- 
piration 30 to 35, interrupted, panting, hurried,"". — Respiration 30 (during 
the paroxysms) ; 24 (between the paroxysms),''''*. — Respiration 30; irregu- 
lar,''"".- Respiration 30,''''.— Respiration 28,"''". — Respiration 26,'"*.— Respi- 
ration 25 ; quite regular,"*. — Respiration 25,"^ — [2270.] Respiration rapid, 
22,'"'.— Respiration 20,"" '" ™ '"I- The air of a room filled with people is 
extremely oppressive ; he feels as though he would faint ; followed by dark- 
ness before the eyes (first day),l — Impeded respiration,""**. — Difficult res- 
piration, that compelled him to jump out of bed at night, open the window, 
and gasp for fresh air,'*. — Respiration difficult, superficial, and accelerated, 
especially during the colicky paroxysms,™. — Respiration embarrassed, ac- 
celerated,'™. — Difficult respiration (fourth day),**'".— Difficult respiration, 
with anxiety ,^ — Such a distressing craving for air, especially at night, that 
during warm weather she was obliged to keep both the door and window 
of her bed-room open, becoming inconsequence deaf from getting a cold in 
her ears,*"'. — [2280.] Oppressed respiration," " '". — Her breath was arrested, 
with sticking in the sternum, when standing or sitting, or on moving the 
right arm toward the left side, in the afternoon,*. — Respiration painful,'**. 
— Loud groaning and sighing, at times, with excessive weeping ; the patient 

f In a young man who had suppressed erysipelas with white lead. 



64 PLUMBUM. 

seemed affected by a violent hysterical attack,™. — Respiration frequently 
interrupted by sighing,^'". — Frequent sighing,^". — Anxious sighing respira- 
tion,™. — Anxious respi ration, *^ — Respiring heavily (after five hours),"". — 
Respiration slow and indolent ; expiration stertorous, on account of weak- 
ened power of the buccinators,^^^— [2290.] Easily gets out of breath,"*. — 
The respiration suddenly cut short,™\ — Great shortness of breath on walk- 
ing, especially on ascending a height, with hoarseness and oppression in the 
region of the heart, aggravated by pressure with the hand,'^*. — Shortness of 
breath, with somewhat dry cough (fourth day),^ — Shortness of breath,' ^°^ 
— Sense of suffocation on drinking,'™. — Feeling of suffocative oppression 
during the colicky paroxysms,™. — Suffocation, causing death,". — Very 
feeble respiration (30),*". — Respiration slow and sighing,™. — [2300.] 
Dyspnoea, attributed to convulsion of diaphragm,"". — I)yspncBa,''.t — 
Dyspnoea,'^ '"* ™- 

Chest. — *Suppuration of the htngs*^*^. — The lungs were well distended 
during the respiratory period ; the thorax expanded, and all of the respi- 
ratory muscles seemed to be active. The violent ingress of the air, and 
the violent efforts to get it, muffled the vesicular murmur, which could only 
be heard at the close of the respiratory period, and was louder than nor- 
mal, and accompanied with more or less of mucous I'ales. Percussion-sounds 
were usually resonant, except in the region of the heart and liver. A few 
days previous to the death of the patient, the lungs were evidently greatly 
congested, and he finally died with a gush of blood from the mouth, con- 
taining large coagulated clots,**^ — On examining his chest I found evidence 
of consolidation in the left apex, and appearance of its commencing in the 
other; there was no rale, moist or dry, and very little cough; while the 
poisoned water was being used there was scarcely any rising of the upper 
left chest on inspiration (the respiration being very harsh, almost bronchial; 
soon after pure water was used, the chest began again to expand, and the 
respiration became puerile),*"^. — The condition of the left side was involved 
in great obscurity. To the touch, that part extending from the false ribs 
to the crista ilii, and from the dorsal vertebrae to the left rectus muscle, 
presented a hard and indurated feel. The hardened mass lay immediately 
beneath the skin, and could be traced only to the muscular system,^'". — At 
the apex of the lungs bronchial respiration was heard,*"'. — Weak action of 
the lungs, especially the left; distinct shade of dulness in the right apex 
(the left being the first affected),*"". — Labored movement of chest and dia- 
phragm,™'. — [2310.] Two out of one hundred and eighty-four died of gan- 
grene of the lungs; two of tubercles of the lungs,"". — At one time the fric- 
tion of the muscles of the chest was so loud, that combined with other 
symptoms, I had great difficulty in satisfying myself that she had not 
pleurisy ,*''^ — Accumulation of phlegm on chest,""". — Rush of blood to the 
chest, when walking rapidly (fifth day),*. — Symptoms resembling angina 
pectoris,""""'". — Tightness of the chest (fifth and sixth days),*'. — Great op- 
pression of the chest, and anxiety,"'. — Oppression of the chest,". J — Sudden 
oppression of the chest, returning at intervals, and constantly increasing 
in violence,*". — Some oppression of the chest, in the morning (second day),^ 
— [2320.] Tightness of the chest,*". — Sense of constriction in the chest ; 
the pains prevent him from fully dilating it,'"". — Feeling of constriction at 
the base of, and all around the chest,"'. — Oppressive cramp in the lower 
portion of the chest, with unusual fatigue, after physical exertion,". — Anx- 

t Prom lurge doses. + Prom the internal use of lead water. 



PLUMBUM. 65 

iety about the chest,^'.f — Constant pressure across the chest, especially be- 
hind the sternum, causing anxiety and making respiration difficult ; move- 
ment or pressure of the hand upon the left side of the chest aggravated 
the anxiety,^^^ — *Pressure upon the chest (after half an hour),* " ™ "". — A 
pressure similar to a sticking in the right and left pectoralis major mus- 
cles,^ — About three weeks ago, had cutting pains in chest and throat, "as 
if scraped by a shell ;" has the scraping feeling in throat now, " as if a 
shell were scraping it ;" the pain comes and goes, lasting only about a 
minute; it makes him feel quite exhausted,™. — Dared not dilate his chest, 
lest he should increase the pains,'"". — [2330,] A young man complained of 
very great pain in the anterior parietes of the thorax, which was greatly 
increased by the slightest touch, and even by the respiratory motions. It 
was more severe above the costal cartilages,'''^ — Dragging pain from the 
chest, as if a string were stretched from it to the groin,'"'. — Pains in the 
chest,*' ''^, etc. — Paroxysmal pricking pain in the external subclavicular 
region, near the brachial plexus, diminished by pressure,'^*. — Great sensi- 
tiveness of the anterior wall of the chest and in the cartilages of the ribs,'*^ 
— Stitches in various parts of the chest and shoulders,™". — Stitches in the 
left upper pectoral region ; on rubbing it extended into the m imma, then 
backward and upward along the shoulder, in the afternoon,*. — Sticking in 
the right costal region after sitting down, disappearing on walking about,*. 
— .EVont and Sides. Pain behind the sternum (second and tenth 
days),™. — Pressure externally on the lower portion of the sternum (after 
one hour),*. — -[2340.] Pressure upon the lower portion of the sternum (after 
two hours and three-quarters),*. — Applied perpendicularly over the ster- 
num, the instrument showed .75 mm.,*". — Lancinations becoming worse, at 
intervals, in the front and sides of the chest,^^°. — Sticking in the upper part 
of the sternum during inspiration, in the afternoon,*. — A stitch in the mid- 
dle of the sternum (after six hours and a half),*. — Violent dull pressure 
as from a block of wood pressing against the anterior and lower portion of 
the left side of the chest, superficial, as if in the surface of the lung, very 
much aggravated on inspiration, especially on deep inspiration and also on 
laughing; lasting from morning after rising until after dinner; while lying 
upon the sofa after dinner he could not endure the pain, and could find 
relief in no position ; this was accompanied by drawing sticking in the left 
upper arm, and at times sticking between the scapulae, that lasted a few 
minutes, and then suddenly disappeared, together with a pain in the chest 
(ninth day),'. — Dull pressure upon the left chest, always quite independent 
of inspiration or expiration,'. — A dull sensation and pressive pain within 
the left chest, anteriorly and posteriorly, intermitting and returning,'. — ■ 
Severe pain in the lower part of the left side of the chest, apparently seated 
in the intercostal muscles,^". — Dull pressive stitches in the left side of the 
chest, not aflfected by respiration, intermittent,'.— [2350.] Tearing beneath 
the right arm (second day),*. — Fine sticking in the left side of the chest 
near the sternum, disappearing on rubbing (after three-quarters of an 
hour),*.— Sticking beneath the right arm, that takes away her breath, while 
standing,*. — Sticking, now in the right, now in the left side of the chest 
(second afternoon and evening),*. — Sticking in the left side of the chest 
(second afternoon),*. — Sticking in the left side of the chest, extending 
through the scapula, in the afternoon (second day),*. — Stitches in the re- 
gion of the right lower ribs on turning the body to the right, and still 

f In a healthy man, from being exposed to the dust of white lead. 

- VOL. Till. — 5 



66 PLUMBUM. 

worse on turning it backward ; relieved by rubbing, in the afternoon/. — 
Stitches in the right side of the chest, becoming a twinging (second day),*. 
— Violent fine stitches in the left side of the chest (after a quarter of an 
hour),*. — Stitches in the left side of the chest, aggravated by inspiration, 
followed by tearing; not relieved after rubbing (after two hours),*. — 
[2360.] Transient stitches in the left side of the chest (after two hours and 
a half ),*. — Mainmce. * The milk was very scanty, ^^. — Sudden attack of 
severe pain in the left mammary region. It was constant, boring, and ex- 
tended into the back. Pressure aggravated it to an intolerable degree. It 
was accompanied by fever and very severe dyspnoea, as if sufibcation was 
imminent, obliging her to keep sitting up in bed. The beats of the heart 
were tumultuous, rapid, and resonant"^. — Itching and sticking pains in both 
breasts ; the left breast suppurated about the nipple and discharged for 
six days a somewhat serous water, after which it remained well ; in the 
right breast there developed an induration, extraordinarily large, occupy- 
ing the whole substance of the breast, firmly adherent towards the outer 
portion, of a livid color, extending upward and outward over the whole 
periphery of this swelling, with here and there red streaks, together with 
violent pains in the swelling, that extended to the arm and aflfected its use ; 
after being opened it discharged a large quantity of thin and corrosive 
matter, and after several days the swelling entirely disappeared,".t — 
Sticking below the right breast (after five hours),*. — Sticking in the left 
mamma on inspiration, in the afternoon,*. — Sticking in the left mamma 
(second day),*. — Sticking beneath the mammae (after five hours),*. — Stick- 
ing beneath the left mamma, near the sternum, in the afternoon,*. — Two 
stitches in and beneath the mammae, lasting an hour, in the morning in 
bed, disappearing after rising (third day),*. — [2370.] Stitches deep in the 
right mamma, not disappearing after rubbing (second day),*. — A fine stitch 
in the left mamma, afterwards in the right (after six hours),*. — Somewhat 
violent stitches below the right breast, extending into the right scapula 
(after one hour and a half),*. — Stitches deep in the female breast,"'^ 

Heart and I'ulse. — Prominence of the praecordial region ; it gives 
a dull sound on percussion, over the space of tliree inches square,"^. — The 
praecordial region is shaken by the hurried and irregular beats of the heart; 
they seem as if stifled, on auscultation, but there is no abnormal sound,"'- 
— Pressure in the praecordial region,^"^ — Jerking in the praecordial region 
(after half an hour),*. — A stitch in the praecordial region on inspiration, 
then anxiety, with mounting of heat and redness into the face, soon disap- 
pearing (after six hours),*. — Heart measures 15 by 20 centimeters ; the 
beats can be noticed over the whole surface of the heart and in the epigas- 
tric region ; violent pulsation in the jugular veins, which are enormously 
distended, pulse very small and rapid, associated with oppression and oedema 
of the limbs ; the heart-sounds are very difficult to distinguish, consisting 
of indefinite double friction-murmurs,*'*.| — [2380.] Heart dilated 12 by 
14 centimeters ; four beats are heard instead of two ; associated with a 
pulse of 84, vibrating as in insufficiency of the aorta ; moderate beating 

f Immediately following the application of lead ointment to a tetter-like rash on 
both hands, in a girl twenty-one years old ; the rash disappeared on the twelfth day. 

X Autopsy showed the heart large, hypertrophied (not dilated), firm, and resist- 
ant; the right auricle large, the tricuspid valves present numerous thickenings, the 
orifice measures 15 centimeters ; the left Airicle presents an opaline surface, the 
mitral orifice measures 115 millimeters; the aorta enlarged, atheromatous. 



PLUMBUM. 67 

in the carotids/"". — The heart measures 10 centimeters in length, 15 in 
breadth ; the heart-sounds noticed over a larger surface than normal ; the 
valvular sounds are wanting; instead there is a double bruit, very rough, 
rasping, which is transmitted along the carotids.■'°^ — Heart very much en- 
larged, the apex in the sixth space; the murmur at the apex diminishing 
in intensity along the aorta,*". — The heart measures 11 by 12 centimeters; 
chlorotic sounds very marked, pulse 80 and feeble,"'. — The heart measures 
9 by 14 centiraetei's ; the heart-sounds are redoubled ; the secoud sound 
rude, changed in character ; it resembled a pericardiac sound. The chlorotic 
murmurs are considerable,*". — Heart measures 11 by 16 centimeters; the 
sounds are sonorous; at one point, however, there can be recognized a little 
murmur in the second sound of the heart,"^^ — Heart measures 11 by 12 
centimeters ; there is a double rough blowing sound, which is transmitted 
along the carotids, associated with swelling of the limbs and albuminuria,*'' 
—The heart measures 11 by 12 centimeters, the apex is in the fifth inter- 
costal space ; the sounds seem altered ; the chlorotic murmur can be heard 
in the vessels of the neck,*'". — The heart was evidently enormously large. 
It was impossible to lay the patient on his left side on account of it, as any 
pressure on that side could not be borne for a moment. His greatest suf- 
fering was a sense of pressure upon the heart, feeling as it were imprisoned 
by the thoracic wall; but it maintained its rhythm through the whole 
period of respiratory intermission, becoming at the beginning of the period 
slower, and falling to 100 or 105 beats per minute, holding that for a time, 
and then rapidly increasing in number until he breathed, when every 
available muscle was brought into violent exercise to give him air,*'". — 
Heart enlarged,"^'. — [2390.] Organic disease of the heart occurred in sev- 
enteen out of one hundred and eighty-four cases; two workers died of 



parenchymatous nephritis,''''. — Affection of the heart in chronic lead po 
soning is often difficult to diagnosticate, because it is dependent upon change 
in the muscular structure of the heart without coincident disease of the valves, 
and with or without atheromatous degeneration of the vessels ; usually there is 
hypertrophy and dilatation (f the left ventricle; ten cases out of tiuenty-five 
were associated with parenchymatous nephritis in the stage of atrophy, ''"'. — 
Anxiety at the heart and cold sweat,^''. — Anxiety at the heart and anxious 
perspiration,'". — Nausea, with auxiety at the heart (second day),^^ — Anx- 
ious, apprehensive about the heart (after half au hour),*. — General oppres- 
sion about the heart,*^'. — He complained of sudden and unusual pain in 
the region of the heart, third day after his entrance, and expired in a few 
minutes,™. — Violent palpitation, with pain in the heart,'"*. — Very violent 
palpitation,"*. — [2400.] Frequent palpitation, with dyspncea, at times so 
great that it threatened suffocation ; he seemed to feel the heart beating along 
the neck and as far as the vertex, with full, hard, regular pulse; the beat- 
ing of the heart was visible and perceptible in the preecordial region over 
a space of about two and three-quarter inches vertically, and about three 
inches transversely ; the sounds of the heart were audible over nearly the 
whole anterior portion of the chest, but were normal (for this palpitation 
the patient received 3-grain pills of the Acetate of lead ; this treatment 
relieved the palpitation and violent action of the heart, so that the pulse 
became weak and full, about 50 ; but the Sugar of lead brought on the 
most violent colic, with nausea and vomiting, with pains in the lower ex- 
tremities, on which account the remedy was suspended),™. — Rather strong 
palpitation of the heart ; slight bruit de souffle at the apex,*^l — Palpitation 
increased during the violent attacks,"'. — Excessive palpitation,*'^'. — Palpi- 



68 PLUMBUM. 

tation of the heart; the first sound is short, defective ; the second sound 
unusually distinct; the impulse received in two intercostal spaces is jerky, 
but not forcible; there is no murmur,'". — Palpitation of the heart, with 
slight bruit de souffle at its base,*". — Suffered a good deal from palpita- 
tion,*^^ — Palpitation of the heart, worse on going upstairs, or running too 
longj^'.-^He feels the pulsation in the head, hands, and feet more distinctly 
after dinner,*"". — Palpitation, at times,''. — [2410.] Palpitation ; beats of the 
heart irregular, like those of the pulse,'''*. — * Palpitation," ''^ ; (after one 
hour),™ "* ''\— The beats of the heart are very perceptible,^— He felt the 
beat of the arteries distinctly in the feet, hands, and head, after dinner,^ — 
Heart's action feeble,'*". — Impulse of heart feeble, and second sound indis- 
tinct,*°l — Contractions of the heart feeble, beating only 44,"°. — Irregular 
action of the heart just before death,™. — Beating of the heart strong 
and irregular,'**. — Bruit de souffle, \i\ime.r?i\ only; none at the carotid ar- 
tery or heart,*". — [2420.] Double murmur in the crural artery,*™. — Car- 
diac impulse very strong,**'. — ^Ansetnic bruit de souffle at the base of the 
heart and along the large vessels,*". — " Bruit de souffle " during the first 
action of the heart, more distinct at the apex than at the base,™. — Bruit 
de souffle in the cervical vessels,"* "" ''' '" "'.— " Humeral " bruit desoufile,*'*. 
— Anaemic blowing-sounds in the vessels of the neck,''". — Carotid " bruit 
de souifle," in both sides,*"" *'*. — "Bruit de souffle," at the apex of the 
heart,*"""*.— Cafs/remite at the apex of the heart,'"l— [2430.] Tremor 
of the jugular veins, on auscultation,*"". — The first sound of the heart is 
remarkably ringing, the second sound dull ; the impulse of the heart strong, 
whirring; associated with dull pain under the sternum,*™. — Chlorotic sound 
of the heart,*'". — Soft systolic souffle at the base of the heart,'"*. — First 
sound of the heart at the apex sharp and metallic,"'. — The sounds of the 
heart are modified ; a double souffle is heard in the subclavicular region, 
but there exists none in the crural artery,*"'. — At the apex of the heart is 
heard a bruit, sonorous, transmitted along the carotids ; the second beat of 
the heart is heard under the sternum,*°'.f — A double iriction-sound at the 
heart, without enlargement,*"". — Heart-sounds were accompanied by me- 
tallic tinkling,*"". — JPtilse. Pulse rhythmical, but the heart impulse vio- 
lent,""". — -[2440.] Forcible and visible beating of the aorta, which shakes 
the whole abdomen,'"". — Rapid puke™ '"' "°". — Pulse usually very quick 
and weak,*"'. — Pulse frequent, hardly to be felt,*"'. — A small quick pulse,""'. 
— Pulse very small and rapid, regular (after four hours),"*. — Pulse rapid 
and hard,"". — Pulse small, rapid,"'.— Pulse rapid, weak, small, intermit- 
tent,".- — Pulse very small, irregular and rapid,"". — [2450.] Pulse quick,"". 
— Pulse very small and rapid,"". — Pulse hard, full, feverish, rapid,*". — 
Pulse feverish, with most violent colic,". — Pulse full and rather turgid,"". — 
Pulse rapid, small and weak,'"'. — Pulse hard, small, and quick (after five 
hours),'"'. — Pulse soft and quick,'"". — Pulse quick and somewhat tense, in 
one paroxysm,"". — Pulse usually full and hard,'"". — [2460.] Pulse very 
small, a little frequent, regular (after four hours),'"". — Pulse weak and but 
little quickened,'"*. — Pulse very feeble and more frequent than usual,'". — 
Pulse 140, and hard (fourth day),'*".— Pulse 140, rather full,*°*.—Pulse 130 
to 140,*"'.— Pulse 126 and small,""".— Pulse 130, feeble,"".— Pulse 120 (after 
one year),'"'.— Pulse tense, 112,**".— [2470,] Pulse 110, hard and full,"'.— 
Pulse full, tense, 110, with considerable fever,'*". — Pulse 100,""*. — Pulse 
100, slightly intermittent and of great tension under the sphygmograph,""*. 

f This was not a case of chlorotic bruit, as in the preceding case. 



PLUMBUM. 




No. 1. — Tracing in lead colic. {Characteristic), great vascular tension. 




No. 2.— Thirteen minutes after injection of Pilocarpin muriat. 




Isfo. 3. — Thirty-three minutes after injection. 




No. 4. — Nine hours after ; return of pain and tension. 




No. 5. — Teste, Augustin, 29 ans. Intoxication trds-legere. — Renaut. 




No. 6. — Kogissart, 54 ans. Intoxication plus marquee. — Benaut. 




No. 7. — Trace type communique par M. Marey. — EKNAtTT. 




No. 8. — Perolas, 46 ans. H^mianestesie saturnine. — Eenatjt. 




No. 9.— Dumont, 49 ans. Hemiphl^gie saturnine. — Renaut. 



PLUMBUM. 69 

— Pulse 100 ; regular, very weak, hardly perceptible,"'. — Pulse 95 ; strong 
aud cordy,™.— Pulse 88, soft,''''.— Pulse 85, frequent and strong,™.— Pulse 
84, attended with a jerk,"^ — Pulse 84, radial artery rigid,"'. — [2180.] 
Pulse 80 ; quite strong and regular,"'.— Pulse 80, full, but soft,"'. — Pulse 
80, compressible,'''^— Pulse 76, small, '"I— Pulse 72, tense and hard,'".— 
Pulse 65-70 ; soft,"".- Pulse 65, soft and regular,""".— Pulse 65, soft and 
regular,'"'.- Pulse 65, rather hai-d,'*^— Pulse 65, vibrating,""*.- [2490.] 
Pulse 60 to 65, not remarkably hard, dicrotic (observed several times), 
not constantly, but after every five or six normal beats,"^ — Pulse 60, vi- 
brating and reguiar,"^ — Pulse 60, developed and hard,"'. — Pulse 60 and 
small (second day),'™. — Pulse 55 to 60, regular and strong,"". — Pulse 55- 
60, hard,"^ — Pulse 56, hard, regular, large,^'^ — Pulse 55, rather hard,^^°. 
— Pulse 55, rather hard, vibrating,"'^ — Pulse 55, somewhat hard and 
tense,"^— [2500.] Pulse 55, soft,"™.— Pulse 55, slow and strong,'™.— Pulse 
55, regular, large, tense,'*l — Pulse 50-54,"'^ — Pulse 50-60, slow and 
weak,'*'.— Pulse from 50 to 60,''^.— Pulse 50-55, hard and slow,"*™'.— 
Pulse 50 to 52, quite feeble,'""'. — Pulse 50, regular, but somewhat hard,"*. 
— iPulse 46, indistinct, of irregular strength aud intermitting beat (tenth 
day),"*".- [2510.] Pulse 45 to 50,"™.— Pulse 45, hard, vibrating, regular,™". 
— Pulse 45, hard,"^ — Pulse 45, hard, vibrating,"". — Pulse 45, slow and 
hard,'™. — Pulse 45, hard and regular,"". — Pulse 45, hard, large, vibrat- 
ing, regular,'"". — Pulse 40, hard, slow, regular,"™. — Pulse 35, hard and 
vibrating,'"'.— Pulse 35, hard,'"".— [2520.] Pulse 24, large and soft,"l— 
Pulse full, but not frequent,'". — ^Pulse very weak, slow and easily de- 
pressed,"". — Pulse slow, weak, aud soft,'*". — Pulse small, weak, and slow,''". 
— Pulse slower than natural,'". — A slow small pulse,'". — Pulse feeble, slow, 
and irregular,*™.- Pulse slow,""""*.- Pulse slow and weak,'"*.— [2530.] 
Pulse slow, hard, tense, 50 to 60,"". — Pulse generally slow aud feeble,""'. — 
Pulse decreased in frequency, and he fell into a comatose state,"*'. — Pulse 
weak, slow, soft, and easily depressed,'*'. — Pulse small and slow,"'*. — Pulse 
112, small and rather weak,'™. — Pulse 50, strong and slow,'"'. — Pulse quite 
slow, and almost imperceptible,'**. — The pulse is M'eak, slow, rather irregu- 
lar,'*'. — Pulse weak and slow,'*'. — [2540.] Pulse 45, slow, hard, vibrat- 
ing,"'*. — Pulse slow, contracted,". — The pulse became slow and very hard,"'. 
■ — Pulse small and weak,*'. — Pulse hard, slow,"". — The first tracing shows 
the characteristic peculiarities of the pulse of lead colic. The second 
tracing thirteen minutes after the injection of pilocarpin shows a decided 
diminution of tension. The third tracing thirty-three minutes after the 
injection shows still greater diminution of tension. The fourth tracing in 
the evening, about nine hours after the injection, shows a return of the 
former condition as in the first figure. I noticed that sumultaueous with 
the diminution of tension, and in exact proportion to it, was the diminu- 
tion of pain,*"". — This author has shown the most remarkable effect of Pdo- 
carpin, administered subcutaneously in lead colic; the efi^ect of which on 
the pulse is shown by the tracing annexed ; corresponding to the control 
of the pulse by the Pilocarpin, was the relief of pain ; this relief lasted 
only as long as the action of the drug was exhibited by the change in the 
pulse,*"". — The pulse is very evidently dicrotic to a degree inadequately 
represented by tracing 7. This gives a very good idea of the alteration of 
pulse which is characteristic of incipient lead poisoning. Renaut, pages 30 
and 31,*°' to *™. — A very gradual fall at the end of the pulsation ; strongly 
marked elasticity elevation ; relatively small recurrent elevation ; in some 
cases a very remarkable bicuspid point at the apex of the first elevation, 



70 PLUMBUM. 

apparently caused by the increased vascular tone during the eolic/^'. — 
[2550.] Stoll asserts that he noticed a tense, full, hard, aud vibrating pulse 
in workers in lead, who were otherwise healthy. We have observed noth- 
ing of the sort. On the contrary, we have remarked, in workmen obliged 
to inhale or swallow large amounts of lead, a small, slender, soft, and 
easily compressible pulse. In rare cases, along with these changes in the 
arterial circulation, a marked diminution of the pulse is observed ; it goes 
down to 40, 45, 50 or 55, having been 60 or 70 previous to exposure. This 
slowness of pulse occurs, with equal frequency, after the internal use of 
lead preparations,'". — Pulse ' moderate, soft, and feeble,™'. — Pulse weak, 
thready, immediately,"". — Pulse small and frequent,'* ^"^ — Pulse weak, soft, 
easily depressed, and very slow,"'. — Pulse extremely feeble,'^*. — Pulse 
small," "' '»" ^".— Pulse weak,'" '''' °™— Pulse small and soft,".— Pulse in- 
termits every third or fourth beat,"'.— [2580.] Pulse 110 (fifth day) ; 100 
(sixth day) ; 120 (eighteenth day),"*'.- Pulse tremulous,*'^.— Pulse 70-80, 
so feeble, depressed, and irregular, that it can hardly be counted,"*. — Pulse 
65-69, soft, quite compressible ; irregular, sometimes quick, sometimes 
slow,^''*. — Pulse 65, irregular,^^'. — Pulse irregular, from 90 to 115,*'^<— 
Pulse always without power, slow when recumbent, but easily quickened by 
trifling exertiou,''*^ — Pulse frequent, depressed, and irregular,'^*. — Pulse 70 
to 85, very irregular; every ten beats or less, followed by equal intervals; 
soft enough, but very deep, and easily compressed,'^*. — Pulse 65 to 70, soft, 
but irregular,'". — [2570,] Pulse 96, slender and irregular,'^'. — Pulse 65, 
very irregular in frequency,'™. — Pulse extremely weak, filiform, and some- 
times imperceptible,'"'. — Pidse 50, irregular as to force, sometimes weak, 
sometimes vibrating,"l — Pulse quite soft, irregular, sometimes very slow, 
sometimes hurried ; the irregularity is noticed five or six times per min- 
ute,™'. — Pulse 65, very irregular; in one minute, by turns, slow and hur- 
ried, large and small,"'. — Pulse soft, varying constantly in rapidity ; it 
was 65-80 within half an hour.'^l — Pulse 65, pretty soft, very irregular,''^^ 
— Pulse small, contracted, hardish, intermittent, indolent,'™. — Pulse 75 to 
80, very irregular; one moment slow and quite large, the next, hurried 
and scarcely perceptible,"'. — [2580.] Pulse very irregular, varying every 
hour in force and frequency; it never exceeded 90,"^ — The pulse is hardly 
perceptible, owing to extreme debility,'*^ 

JVecA; and BacU. — Week. Paralysis of the cervical muscles,'"*. — 
Tension in the naj)e of the neck, more on the right side, extending into the 
ear, on turning the head sideways (after four hours and a half),*.— The 
neck is stiff"; the head is kept almost motionless, "^ — In the neighborhood 
of the last cervical and first dorsal vertebrae pressure causes a rather severe 
pain (points of hypersesthesia),"'". — The pains are also felt in the neck, 
walls of the chest, back and loins,"^ — Tearing in the nape of the neck, dis- 
appearing on standing and rubbing it, after which it appeared in the left 
shoulder, when it disappeared of itself (after five hours),*. — Sack. Weak- 
ness of the back and lower extremities,"^ — Weary feeling in the back, 
hardly amounting to pain,*".— [2590.] Back lame, weak, and painful,'".— 
"Rheumatism" of the back, hips, and lower extremities,^'". — "Spinal 
irritation," "".—Neuralgic pains in the back,™'.— Pains in the back, hips, 
and down the spine, extending occasionally up the neck to back part of 
head,'".— Pains in the muscles of the back,™.— 7)orsa?. Dorsal region 
of spine tender on pressure (after one year),™'.— Pains between the shoulders 
(after three-quarters of an hour),'*.— Pain as if sprained in right scapula 
(after quarter of an hour),*.— Tearing in the lower portion of the right 



PLUMBUM. 71 

scapula (after two hours)/.— [2600.] Tearing in the right scapula, with a 
feeling as of something living in it that rose up; afterwards burning in the 
abdomen, and then again sticking in the right scapula (after two hours and 
a half ),*.— Violent tearing in the right scapula (after two hours and a 
half),*. — Burning in the tip of the left scapula (after one hour),*.— Stick- 
ing and burning in the right scapula (after two hours and a half ),*— Per- 
sistent sticking in the right scapula (after two hours and three-quarters),*. 
— Sticking in the left scapula three times in succession, afterwards ouce, 
and then frequently,*. — Two coarse stitches in the middle of the spine (after 
two hours),*. — A stitch between the scapulas (after one hour and a halt), *. 
—A stitch in the middle of the back, while standing (second forenoon),*. — 
Lumbar. The lumbar muscles were not affected, the patient could double 
himself up, etc., without increasing the abdominal pains,™.— [2610,] The 
lumbar region of the spine and the lumbar muscles are affected by lanci- 
nations, and by cramps, which are worse by paroxysms, and are amelio- 
rated by pressure, but aggravated by movement. The pain prevents him 
from bending himself, doubling up, or walking,"^ — Dragging pain in the 
lumbar region (this was an invariable symptom),^"'. — Dragging pains in the 
loins and epigastrium,'"'. — Violent pains in the loins,*'. — Pains in the 
loins,*" *". — *Pawfulness of the loins, nates, posterior portion of the thigh, 
knee, sole of the foot, and toes. The pain, ivhich is equally severe on both sides, 
is felt somewhat on the inner surface of the lower limb ; it usually consists of 
prichings or lancinations, together with occasional attacks of cramp,™. — Vio- 
lent pains in the lumbar region (after four hours),"*. — Great pain in the 
muscles of the back,*"". — Severe pain in the lumbar region (after four 
hours),="^^— Lumbar pains,*'= **l— [2620.] Pains in the small of the back,™ 
"^ — Considerable aching pain in the back (lumbar region),*"". — Violent 
drawing pains in the small of the back,**\ — Drawing pain from the pubic 
region to the middle of the spine (second day),l — Pain in lumbar region, 
which is most marked when stooping forward,"*'. — Pains about loins and 
chest,™l — Neuralgic pains, especially in the lumbar region,^"'. — Warmth 
and pain in the small of the back (after three-quarters of an hour),**. — 
Tearing in the left lumbar region, while standing, in the afternoon,*. — Stick- 
ing in the small of the back, which is sensitive on leaning against the 
chair, disappearing on rubbing it, in the afternoon,*. — [2630.] Sticking in 
the right lumbar region, disappearing on pressure, in the afternoon,*. — 
Sticking in the left lumbar region and right hypochondrium, while bend- 
ing toward the left side, disappearing on rising and sitting erect, in the 
afternoon,*. — Stitches in the left lumbar region, while laughing, in the after- 
noon,*. — Sacral. Pressive pain in the sacroiliac synchondrosis,'. — Vio- 
lent itching on the coccyx, above the anus, relieved by scratching (first 
day),^ 

Extretnities. — (Dilated veins on both legs and on the feet ; on the 
upper third of the outer surface of the right arm there is a large serpentine 
varicose vein, and on the patella a large patch of varicose veins),"'."}" — 
OEderaatous swelling of the extremities,". — Has suffered from gout in the 
hands and feet,'^". — The limbs lie slightly flexed, and are never contracted ; 
when raised, they immediately fall back again,"^ — Lay always with the 
limbs drawn up,'*". — [2640.] Usually the legs are kept flexed upon the 
thighs, and the forearms upon the arras, while the body is doubled together. 

t The patient suffered from these veins fur a long time, and had worked thirty- 
seven years in the factory. 



72 PLUMBUM. 

This seems to be the easiest positioD,"l— Convulsions of the limbs,**. — The 
upper and lower extremities trembled, and the extensors of the former were 
paralyzed,*^'.— Tremor of the legs and hands, especially the right,"*. — The 
limbs tremble much less when they are resting against anything,*"". — The 
whole arm trembled so much that he could not carry a glass to his mouth. 
The lower limbs became similarly affected, in the evening. The oscilla- 
tions quick and uniform,™l — Tightness and spasms in the extremities and 
hands,'*". — Spasmodic flexion of the arms and legs, so the dorsal surfaces 
of both hands rested upon the chest, lasting a quarter of an hour, and fol- 
lowed by gradual relaxation, until the arms hung by the side ; after a few 
hours the spasm was renewed,'^". — Numbness of extremities increased day 
by day, and there was an incessant trembling, worse at times, especially in 
the upper extremities, in which the paralysis of the extensor muscles was 
manifest, particularly in the right hand, which could not grasp or hold any 
object,^*". — Convulsive movements of the extremities,^'. — [2650.] Sudden 
attack of violent convulsions in the upper and lower limbs,"^ — Tremor, 
first in the left lower then in the left upper extremity, with pain and diffi- 
culty in moving,"*. — Constant trembling of all the limbs,™. — Tremor and 
convulsions of the limbs,"\ — Slight trembling of the limbs and face,''*'. — 
Trembling and weakness of the limbs, even to sinking down, recurring 
from time to time,". — Trembling of all the limbs, and of the whole body,'. 
— Trembling of the limbs, but especially of the muscles of the face,'.t — 
Tremor in the aruisand legs, while walking and when at rest,"'. — Trembling 
of the upper and lower extremities, during both motion and rest,*"'. — 
[2660.] Trembling of the limbs,''''"'"'"'"'.— *JerM'ngs of the Hmbs,'".— 
Violent spasms of the limbs,°^ — Paralysis of the limbs ; it was singular that 
this affected both lower extremities and the right arm, while the left remained 
unaffected ; it was discovered while the child was obliged to lie in bed that 
suddenly he took everything with his left hand, and could not move the 
right,"'l — Paralysis of hands and legs,*" °" ™. — The left limbs are almost 
as much paralyzed as the right,'*". — Paralysis of the upper and lower ex- 
tremities,"'. — Paralyzed extensors,**". —Paralyds of the limbs,''" *^ — Paralysis 
of the arms and feet,".J — [2670.] Left-sided hemiplegia of the upper and 
lower extremities,"'. — Limbs completely paralyzed and extremely wasted,*^ 
— Complete and incomplete paralysis of the upper and lower extremities,'^ 
— In the left limb the power of movement is unimpaired,'*". — Sometimes 
both upper or both lower limbs are palsied in the same degree, or the same 
muscles are affected in both. In other cases the complaint attacks one 
limb only ; or the corresponding extremities may be affected by different 
degrees of paralysis, and the loss of power fall upon different muscles, or 
varying numbers of muscles in the two limbs,'". — Out of one hundred and 
two cases of lead palsy, the upper limbs generally were deprived of motor 
power in five cases, the lower limbs generally in one case. In the remain- 
ing cases the loss was partial, being confined to a group of muscles, to one 
muscle, or to a single muscular fasciculus. Excepting in cases of general 
paralysis, only the posterior muscles of the limb are deprived of contrac- 
tility in paralysis of the upper extremities, while in paralysis of the lower 
extremities only the anterior muscles are affected,'".— Paralysis of the upper 
extremities, and partial paralysis of the lower extremities. The hands, 
with the palms turned inwards, hung by his side, and rather forward, per- 
fectly powerless, rather swollen, and of a livid hue. He had no power of 

t From white lead used hs a eotmetic. 
J Cured by the iipplication of electricity. 



PLUMBUM. 73 

moving the forearm, nor of rising from his chair without assistance. When 
he walked he required the assistance of a servant on each side of him, and 
then his knees bent under him, and his gait was tottering,^*. — Complete 
loss of power in the limbs, with numbness ; he lay on his back unable to 
make the least movement; the limbs yielded readily to external force; 
their tactile sensibility was entirely abolished,"^ — Immobility and insensi- 
bility of the arms and feet,''". — Sensation and motion entirely unimpaired 
in the left leg, and in both upper extremities,^"". — [2680.] Failing power 
in the limbs,'". — Since in paralysis of the limbs only some of the muscles 
are aifected, while their congeners and antagonists act naturally, it follows 
that the equilibrium between the two classes is destroyed, so that their 
movements become irregular, and partially influenced as if by normal con- 
traction, occasioning more or less of deformity, which is gradually increased 
as the muscles become habituated to their unnatural position,'". — Weakness 
of the limbs and pain in same,^**. — Three months ago he first felt great weak- 
ness in the hands and forearms ; this gradually increased, and about three 
weeks subsequently he was suddenly affected, whilst walking, with intense 
pain in the thighs. The use of both pectoral and pelvic extremities was lost. 
At present he has very little power from the shoulder to the wrist ; he can 
hold any light body in the hand, but cannot clasp with firmness. The arms 
hang loosely by his side; he has a little motion with the forearm, but can- 
not raise the limb from the shoulder,". — Sudden attack of slight bruised 
pain in the lower extremities, together with pricking and formication on 
the soles of the feet ; walking aggravated the latter sensation to such a de- 
gree that it was both difficult and painful. This heightening of sensibility 
was more troublesome at night; in the daytime- it soon disappeared after 
he got heated at work. Next the superior extremities began to lose 
strength, the wrists and fingers became somewhat flexed, and could not be 
fully extended, and at last the upper limbs became totally immovable, and 
were afl^ected by very severe pains. The arms hung straight down, and seemed 
as if fastened to the sides ; when raised and let go, they fell like dead weights. 
After immense exertion he succeeded, through the action of the pectoral 
and large dorsal muscles, in turning his hands back to back, and carry- 
ing them behind him. No amount of effort produced the slightest move- 
ment in a single muscle of the shoulders, arms, forearms, or hands. The 
trapezius retained some lifting power at the shoulder ; the latter seemed de- 
pressed ; the elbow, wrist, and fingers were slightly flexed. The forearm 
and hand were held edgewise, i. e., in a position half way between prona- 
tion and supination. The limbs were freely movable in any direction by 
external force. The parts deprived of locomotion were very painful, feel- 
ing as if bruised ; this pain was worse on the slightest movement, con- 
stant, aggravated at night, and affected only the parts around the shoulder, 
the subclavicular space, the axilla, and the whole of the upper extremity. 
When the arm was squeezed, he cried out that the marrow of bis bones was 
being bitten. Not the slightest pain was felt in any part of the spine. The 
sense of touch was unimpaired,"'. — Joints painful, cracking on motion,^"^ 
— Contractions of the extremities (first day),"". — Stifl^ness of the fingers, toes, 
and insteps,*™. — Stiflfhess and painfulness of the limbs,"'. — Stiflliess of the 
limbs," ^"'.—[2690.] Paralytic rigidity of the limbs,'".— Contraction of the 
limbs,'' *l — Rigidity of the limbs,"". — Stiffness of the limbs and general cold 
sweat ; the patient answered only by nodding the head ; after a while res- 
piration stopped entirely, and rigidity extended over the whole body, 
though the heart continued to beat, lasting nearly two hours,™. — The right 



74 PLUMBUM. 

limbs appear to fall back more easily than the left,^'". — The limbs are 
emaciated, and very sensitive to cold,"'. — The palsied limbs lost flesh with 
astonishing rapidity, showing in strong contrast with the general plump- 
ness. Within a few days the shoulders had wasted away, so that the pro- 
jections of their joints could be easily discerned. The contour of the mus- 
cles vanished. The skin grew yellow, and seemed too loose a fit for the 
parts it covered. All the tissues of the limbs became soft and flabby,"*. — ■ 
His extremities were dwindled away to the mere sheaths of the muscles,™. — 
He presented a well-marked arcus senilis and wasting and loss of power of 
the fingers, thumb, forearms, arms, shoulders, and thighs. The aflfectiou 
of the left upper extremity was more severe than that of the right,"^ — The 
paralyzed limbs have wasted almost to skin and bone ; their integuments are 
of a dingy yellow, flabby appearance, and as if fastened to the bones,"'. — ■ 
[2700.] Weakness of the limbs,""". — Prostration of the limbs (fifth and sixth 
days),". — The limbs on both sides are equally affected,™. — Considerable 
weakness of the arms and legs, which went oflP gradually, until at the end 
of two months their strength was completely restored,'"". — W^eakness of 
the limbs, especially the right,*"'. — General debility in all the limbs ; he 
fell when going upstairs, but without losing consciousness, yet he was 
able, without help, though slowly and with difficulty, to get to his home 
about three-quarters of a mile off; be then perceived that his limbs trem- 
bled a good deal,*"'*. — Her joints became weak,'^^ — Weakness of wrists, 
ankle, and knee-joints,"". — Great weakness of all the limbs,"^ — Weakness 
of the hands and lower extremities, on rising from bed, in the morning, so 
great that she could walk only with difiiculty, and like a little child learn- 
ing to walk, gradually disappearing (second day),*. — [2710.] Sensibility 
when tickled, which is lost in the palm of the right hand and sole of the 
right foot ; is unimpaired in the corresponding parts of the left limbs,***. — 
Loss of sensation and impaired power of motion of the right hand and the 
rightleg and foot,^'*. — The sensibility of the paralyzed parts is unimpaired,"'. 
• — Marked diminution of sensibility in the whole forearm and thigh, especi- 
ally on their anterior surface,'^*. — Insensibility of the limbs,^°. — Slight anal- 
gesia of the right limbs; more in the leg and foot than in the arm,*"'. — 
Torpor and numbness of the limbs, at times,*". — ^Numbness of the arms and 
lec/a,^'. — Numbness of the extremities, sometimes extending through the 
whole system,'". — Sudden attacks of numbness, heaviness, and pain in the 
arms and thighs,"'. — [2720.] Benumbing sensation of the limbs, that grad- 
ually becomes a paralysis,*". — Occasional sense of numbness of arms and 
legs, increased after movement,'*". — Even in cases where normal sensibility 
was preserved, a sense of fatigue and weight was always experienced in the 
paralyzed parts, and especially in the joints lying in the track of the af- 
fected muscles; in every case there was a feeling as if a heavy weight was 
suspended to the joints, and as if the chief obstacle to moving the parts was 
the specific gravity of the limbs which had to be lifted,'". — Feeling of las- 
situde in the calves and arms, especially in the biceps muscle,*^. — Feeling 
of weight in the joints of the paralyzed parts,'*". — Heaviness of all the 
limbs (eighth day)," "". — Heaviness of the upper and lower extremities,*".— 
Woke at 4 a.m. ; the hands and feet were weary and weak, even while in 
bed, especially the calves, disappearing after rising and walking about 
(third day),*. — Cramps, felt first in the left middle finger, and successively 
affecting the knees, the popliteal spaces, calves, soles of the feet, etc. ; some- 
times accompanied with very severe pains,'". — Cramps and constant pain 
in all the limbs, and especially in the deltoid muscle,"*". — [2730.] Cramps 



PLUMBUM. 75 

of varying severity in the muscles of the extremities were common/'"'. — ■ 
Cramps and pains in the knees and arms,™. — Cramps in the hands and 
right leg, especially on extending them, from lying in bed,''*^^ — After a 
year or two he commenced to have what he called rheumatism in his wrists 
and ankles; they were stiff and lame, and very weak and painful, particu- 
larly in the morning when he went to work,*™. — Frequent and violent at- 
tacks of cramp have been felt in various parts of the body, but more par- 
ticularly in the hands and feet, when those parts were first put in motion 
after an interval of rest,™. — Cramps of feet and hands, "^ — Cramps in the 
extremities,^'**". — Cramps in the limbs; at times almost convulsions,"'. — 
Cramp so violent that the limbs were paralyzed for a long time after the 
attack, and remained covered with many nodes (ganglia), ".f — ^During the 
past eleven years he had suffered from repeated attacks of violent pains in the 
limbs,^*". — [2740.] * Violent pains in the extremities, beginning in the fingers, 
extending through the elbows and upper arms ; then beginning in the feet, and 
finally affecting the xuhole body,*''. — Violent pains, beginning in the joints 
and extending through the limbs,™. — *Violent pains in the extr amities, '^'^ 
— Very severe pains in the joints; worse in those of the lumbar vertebrse 
and of the shoulders, but all the other joints are affected, though in a less 
degree. The finger and toe-joints and the articulations of the jaws are 
almost entirely painless. The pains are not much felt when the joint is at 
rest. They are aggravated by the least movement; pressure on the parts 
about the joint is less painful than movement; on pressing the bones to- 
gether which belong to a joint (as for example the humerus against the 
glenoid cavity, or the tibia against the condyles of the femur) the pains 
are still more severe than during movement. There are no severe spon- 
taneous pains ; if he keeps still he is comfortable. The muscles themselves 
are entirely painless,"™. — Severe pains in the inside of her upper and lower 
extremities, more particularly about the inner angle of the elbow, and 
knees,'"'. — Pain in knees, ankles, arms, and in the tendon of the pectoralis 
muscle,''"'. — Severe pain in his arms and legs. The muscles moving the 
arms upon the shoulders gradually failed, and eventually became almost 
powerless,^^'. — Severe pains, principally of the hands and feet,*". — Much 
pain in the large joints, particularly the knee,™. — Quite severe pains all 
through the paralyzed limbs, which are aggravated by pressure and move- 
ment,'^*. — [2750.] *Pains in the extremities, especially in the evening and 
night, so that he constantly rubbed one foot against the other,'™. — Severe 
pain in the limbs and joints,'". — Sudden attack of severe pain in the joints, 
without redness or swelling,"". — Intense pain in 'the lower joints of the 
right limbs,*™. — Rather severe pains about the large joints, constant and 
aggravated by the heat of the bed,™l — *Pimgent pains in the limbs, worse 
at intervals, and much more severe in the lower limbs,"'. — *Pain in the limbs, 
especially in the muscular part of the thighs. After the persistence of this 
state for some time, the muscles of the arm became painful,^". — Rheumatic 
pains in the limbs and loins, that extend into the knees,*". — He had been 
suffering for three weeks with great pains in all his limbs, especially in the 
legs and left arm. He still complained of pain and weakness in the left 
knee, and a week previously this joint had been swollen as well as painful,'". 
— Pain in the joints, especially the knees,*". — [2760.] Pain in the limbs dur- 
ing movement and pressure,**". — In twenty, pain in limbs or joints, or "all 
over," ^"'. — Pains in the joints and muscles during movement,*™. — On gently 

f Effects of Sugar of lead, in a man. 



76 PLUMBUM. 

moving the limbs, both upper and lower, I found it was the flexor muscles 
that caused the pain on raotion,"'^ — Pains in the limbs, as if broken,"^ — 
Pains in the hands and feet, and numbness of the same,^'. — Neuralgic 
pains in the limbs,'''. — Pains in limbs, shoulders neck, face, and head,^"- 
— The slightest pressure aggravated the pains in the extremities,'^'. — Pain 
in limbs, attended by violent cramps,™. — [2770.] No pain or weakness 
whatever in the right limbs,'". — Pain across legs and arms,''*. — *The pains 
in the limbs are worse by paroxysms, which are so severe that he cries 
out ; they are somewhat relieved by pressure, but movement increases them,,^'^. — 
*Pains in the extremities," '''' "\ — * Vague wandering pains in limhs,^^. — 
Pain in the joints,"^ — Dull pain in the extremities,". — *The pains in the 
limbs were aggravated, at night,*^ — *Puins in the limbs, that rage most 
violently, at night,^^. — Pains and cramps, not merely in the joints, but alio 
in their surrounding muscles,*"". — [2780.] Pains in limbs, with the attend- 
ant trembling,^"'. — *Pains in the limbs,' '" '" ™, etc. — Pains in the arms 
and legs,*^'. — Some pain in the limbs and joints,"'^ — Bruised pain in the 
limbs,'*^. — Bruised pain in the limbs, especially the lower,"*. — * Lancinating 
pains all along the inner surface of the upper and lower limbs; sometimes 
cramps ; at times these neuralgic pains cause as great suffering as the colicky 
paroxysm.s,'^. — Lancinationsin the elbows and knees,*". — Drawing pains in 
the extremities,'" *°. — Drawing and pains that affect now the arms, now the 
feet,". — [2790.] Hsemorrhage ceased entirely, but tearing pains began in 
the extremities, especially the lower,"^ — Violent tearing pains, lasting day 
and night,". — Tearing in the limbs,'". — Some tingling of the limbs re- 
mained (after four days),"'^ — Pressive, tearing, drawing pains in the ex- 
tremities,'"". — Constant sensation of tearing in the limbs,*"'. — Very violent 
stinging in the arms, forearms, and lower extremities (after two hours),'". 

Superior Extremities. — Both arms, but especially the right, be- 
gan to feel numb and weak after his third attack of colic. The weakness 
gradually increased, and in about three weeks a trembling began, at first 
slightly, but which is now very great. The oscillations, especially of the 
arm, are uniform in extent, and rapidly performed. He says that the 
trembling diminishes and increases alternately. It is greatly aggravated 
after fatiguing work. The legs are not affected in any way. All the 
movements of the arm are performed naturally; the fingers and forearm 
can be extended with the greatest ease. Electro-muscular contractility is 
normal. The force of compression in the right hand, according to the 
dynamometer, equals 30 kilograms ; in the left hand, 45 kilograms. The 
pulling strength is 70 kilograms. Muscular strength, in this case, is but 
slightly impaired,™'.— Trembling of the arms,*"'. — Trembling of the hands, 
followed by weakness of the third and fourth fingers, so that they could 
not be fully extended ; afterwards the second and fifth fingers became 
affected, afterwards the wrist, and finally even the shoulders; the arms 
hung down relaxed ; the shoulders and arms were emaciated, especially the 
deltoid itiuscles; the balls of the thumbs emaciated; on passive motion of 
the hands and fingers there were trembling motions of the muscles, also at 
other times there was exquisite fibrillar twitching ; if he attempted to raise 
the arm, the trapezius and sterno-cleido-mastoid muscles contracted and 
raised the shoulder as much as three inches, then the pectoral muscles con- 
tracted and drew the arm slightly forward ; he was, however, able to flex 
and extend the elbow by means of the biceps and long supinators on the 
one hand, and the biceps on the other; contraction of all the muscles was 
very weak ; pronation and supination of the hand was possible, with trem- 



PLUMBUM. 77 

bling, etc.,"'.t— [2800.J The whole right arm trembles a good deal. The 
osciliations are rapid aud uniform, with a regular to and fro motion. The 
tremor persists even after the patient has been told to fix his attention on 
it, in order to prevent it. There is no decided movement of the fingers per 
se; it is rather a movement of the whole arm. The left arm also trembles, 
but in a much less degree,™'. — Incoordinate movements of the superior ex- 
tremities, which consist in an indefinite and irregular series of contractions, 
and have their seat alternately in the extensor and flexor muscles. These 
oscillations continue in spite of the patient's eflTort to the contrary. The 
power of extending the arms upon the posterior portion of the trunk is 
much lessened. There exists a slight analgesia of the affected members, 
but not the least paralysis of the extensor muscles of the fingers,"**. — Con- 
vulsive movements from time to time in the arms,"". — Trembling of the 
arms, worse towards evening, principally in the hands and forearms, but 
extending to the upper arms when he is compelled to any strong exertion, 
of the limbs,"". — Trembling, especially of the upper extremities,"*. — Trem- 
bling in the upper extremities,""". — Quite severe tremor, confined to the 
upper limbs,™'. — Very perceptible tremor of the upper limbs,*"". — Decided 
tremor of both superior extremities ; oscillations rapid and uniform,™*. — ■ 
The tremor diminished after a few sulphur baths; a paralysis of the ex- 
tensors of both arms then set in,™^ — [2810.] Tremor of the right arm,*''^ — ■ 
About three weeks ago his arms became affected. They are "shaky," he 
says; are agitated by clonic convulsions when he attempts to use thera. 
He cannot write, and can with difficulty feed himself; at one time he was 
unable. His right arm at one time was fixed, by the contraction of its 
muscles, to his side up to 10 or 11 a.m. every day. After walking for some 
time, his arms get quite steady for three or four hours. His grasping power 
is lessened,^"'. — The superior extremities are affected with a decided tremor, 
not very perceptible when they are at rest, but plainly visible on holding 
them out in front,™". — Tremor of the arms, especially the right arm, during 
voluntary motion,"". — Well-marked tremor of both arms, preceded by weak- 
ness and numbness, which are especially felt towards evening,™^ — (Several 
attacks of colic. Three years ago, taken with weakness and numbness of 
the arms, worse towards evening, succeeded by a gradually increasing tremor 
confined to the arms ; these were cured in six weeks),™". — Paralysis of the 
upper extremities; the extensor muscles became completely paralyzed; 
both arms hung by the side, could not be raised ; the patient could not use 
the hands in eating, drinking, or dressing himself; the flexor muscles were 
somewhat weakened, and use was associated with trembling; this was fol- 
lowed by atrophy of the muscles,""*. — Paralysis of the extensor muscles of 
the arm. When he pronates the hand, the wrist droops to a right angle 
with the forearm; he cannot straighten it; supination is pei-formed natur- 
&\\y,^''^. — General paralysis of the upper extremities,"". — Flexor muscles 
slightly enfeebled,*"". — [2820.] Want of power of motory co-ordination 
quite marked in both upper limbs, the left especially ; when his eyes are 
shut, he cannot touch any particular spot on his face without feeling for 
it ; analgesia to pricking and pinching in both arms, especially the left,*™. — 
Paresis of the upper limbs, especially of the right hand and forearm,*"'. — 
Complete paralysis of superior extremities,""". — Paralysis of the extensors 

•\ Here follows, in the original, the detailed ciircful exiimination of the muscles 
and groups of muscles by means of faradic and galvanic currents, with tables of the 
exact irritability for each. — T. P.' A. 



78 PLUMBUM. 

of the upper extremities, especially of the forearms ; flexor muscles unaf- 
fected ; the paralysis of the fingers became so great that the patient was 
unable to write,^"''. — Paralysis of the upper extremities and atrophy/". — 
Almost complete paralysis of upper extremities, and gradually increasing 
emaciation,'^'. — Paralysis in the extensor muscles of both upper extremities 
and one of the lower,™*. — Upper extremities paralyzed as to muscular 
power (after three weeks),™. — Painful paralysis of the arms,'^ — Inability, 
by any effort of will, to raise his arms, which hang down by his sides,'". 
— [2830.] A few months ago, his arms and hands began to feel "fagged 
and powerless,""^'. — Incomplete paralysis of the upper extremities; the ex- 
tensors of the fingers, the supinators, extensors, abductors, and adductors 
of the thumbs seem to suffer especially, with incomplete paralysis of the 
feet, especially of the extensors of the leg, also the sensation of warmth not 
entirely lost,'*. — Paralysis of the left arm. He was able to make flexion 
and extension but to a slight degree ; but, what is singular, the grasp was 
as perfect and as strong as in health,^™ — Both arms hung so powerlessly by 
his side, that the hands could not be raised more than a few inches from 
the body,"". — Diminished power of the extensor muscles, especially on the 
right side. This want of power does not seem to be confined as much as 
usual to the extensors, for the flexors of the arms and hands are also much 
enfeebled. It is evident that neither flexion nor extension can be fully 
accomplished, so that the angle included between the furthest limits to 
which these movements can be voluntarily carried is considerably lessened. 
The fingers can be extended farther by the application of outward force,"" 
— Almost complete paralysis of the extensors of the arms,"^ — Loss of power 
in the right arm,™. — Paresis of the extensor muscles, especially of the left 
arm,*™. — Paralysis of the arm began with loss of power in the extensor of 
the fourth finger, after which, trembling of the arm after exertion was fre- 
quently noticed,"*". — The whole of that arm which used to be thrust into 
the furnaces was paralyzed, and not, as in most cases, only the hand and 
f■orearm,*'^ — [2840.] The extensor muscles do not contract on the applica- 
tion, of electricity; the inter, manlis contract., causing flexion of the first 
phalanges and extension of the seGond,^'^ — Paralysis of the extensors of 
both arms, especially the right. Both arms hang down, but there is no 
contraction of their flexor muscles,"^ — Inability to lift the right arm, which 
is applied to the chest; its other movements are performed naturally. 
Pains in right side of neck, right shoulder, inner portion of right arm, bend 
of right elbow, palmar surface of right forearm and wrist; increased by 
movement; unaffected by pressure; worse by paroxysms, during which 
they burn like fire, and between which they are contnsive. Skin of these 
parts insensible, but their contractility unimpaired,'"". — Whatever efforts 
are made to move the whole upper extremity, contraction is only noticed 
in the fibres of the deltoid,'*^ — The motor power of the right upper limb is 
diminished; the muscles of the posterior region of the forearm are also 
somewhat wasted,"".— The flexors, as well as the extensors, are somewhat 
affected, since, when he clenches his hands, he exerts very much less strength 
with the right than with the left,^'".— Paralysis of the extensors of the fore- 
arms ; pronation impossible ; the lower portion of the forearm, especially 
of the right, much emaciated ; the hypothenar decidedly diminished in 
volume ; the action of the long supinators preserved ; muscles of the right 
upper arm atrophied, as also those of the left, but in a less degree; deltoids 
also atrophied ; analgesia and anaesthesia of both arms, especially of the 
right ; the same symptoms were noticed in the lower extremities, only the 



PLUMBUM. 79 

extensors of the feet very little paralyzed ; there was no ataxia of motion/''. 
— The first indication of paralysis of the arm was noticed after writing, and 
manifested itself by weariness and trembling of the hands, and inability to 
completely extend the fingers; weakness affected at first the third and 
fourth, then the fifth and second fingers, then the thumb, at last the exten- 
sor carpi ulnaris, associated with transient weakness of the extensor mus- 
cles, not at all of the supinators (the patient was left-handed, and the pa- 
ralysis was worse on the left side),'". — Raising the arm became difficult and 
almost impossible ; after awhile the arm became entirely paralyzed, especi- 
ally the deltoid muscle; the elbow, wrist, and finger-joints were somewhat 
flexed ; the hand retained its position midway between pronation and su- 
pination ; the paralysis that began in the extensors gradually extended to 
flexors, and the arm became completely paralyzed ; tearing pains in the 
arm, aggravated by pressure, worse at night, at times so violent that the 
patient became wild with pain ; the sensation of touch was absolutely un- 
aflffected ; sensation of heaviness in the wrists and fingers ; finally, a feeling 
of icy coldness in the extremities,™. — Arms hang straight down, and seem 
as if fastened to the sides; when raised and let go, they fall like inert 
bodies,"*. — [2850.] The arm is semiflexed at the elbow; it cannot be com- 
pletely straightened ; when this is attempted to be done, the limb immedi- 
ately returns to its former position,^'"'. — Both arms fixed in pronation ; no 
approach to supination possible,'^*. — The left arm is laid against the chest; 
it cannot be*raised by the action of the deltoid ; its other movements are 
performed naturally ,""*. — Upper extremities emaciated ; the extensor mus- 
cles completely atrophied ; the space between the radius and ulna sunken ; 
skin dry, gray, rough ; both hands flexed at the wrists; both osseous spaces 
hollowed ; the basal phalanges stand at right angles with the metacarpus ; 
the middle and terminal phalanges flexed into the palm of the hand, so 
that the nail pressed into the skin ; the terminal phalanx of the thumb 
stands at right angles with the basal phalanx; abduction and adduction 
almost entirely lost; separation of the fingers impossible ; all extensor mo- 
tion is impossible; pronation and supination almost entirely lost; scarcely 
any power to flex or extend the forearm at the elbow ; motion at the 
shoulder is free,*"*. — There was a marked loss of substance over the right 
shoulder, all the scapular muscles being atrophied and shrunken; the head 
of the humerus could be distinctly felt, and even the irregularities on the 
surface of the shaft. Lower down, all the muscles of the arm and forearm 
were much wasted. The fingers were flexed. At times a distinct muscular 
tremor was seen in the afiTected muscles, but this was just after attempting 
to use them. He had no power to raise the arms, which hung useless by 
his sides. He complained of a good deal of tenderness when his arms were 
moved about,^"'. — The flexor muscles, although not paralyzed, are some- 
what reduced in size, owing to the long continuance of the disease,"'.— 
Upper limbs emaciated, but not paralyzed ; he only complains of general 
muscular weakness,"^ — Upper extremities exceedingly emaciated,"l — 
Arms emaciated, especially their lower part,**". — Entire upper extremity 
greatly emaciated,*". — [2860.] Arms very much wasted,***. — Very numer- 
ous dilatations of the cutaneous veins of the forearm and under surface of the 
lower third of the upper arm; the dilatations much larger than peas ; espe- 
cially noticed at the point of union of veins, but also at other points, espe- 
cially after muscular exertion and ou compression of the vense profundse 
brachii ; these dilatations had the appearance of strings of pearls,'*^ — Very 
numerous moniliform dilatations of the veins on the forearm, upper arm, and 



80 PLUMBUM. 

bach of the hand, chiefly corresponding fo the points of union of veins, always 
much more prominent after muscular exertion ; there were no varices in 
other parts of the body, except a few slightly dilated veins on the calves; 
this was associated, as in other cases, with colic, arthritic pains, paralysis 
of the extensors of the forearm ; relieved by a galvanic current,'°^ — The 
veins of the arms were only slightly filled, but on compressing the deep 
veins of the upper arm they became swollen, and exhibited numerous rather 
large olive-shaped dilatations,'™. — Weakness of the right arm and hand ; 
the middle and ring fingers are the weakest,"". — General feeling of weak- 
ness in the arms,"*. — Weakness of the extensor muscles of the right upper 
extremities,*". — Has noticed, for some time back, a good deal of weakness 
in the upper limbs, especially in the evening,**'. — Paralytic weakness of 
the arms,***. — Diminished tactile sensibility in the hands, forearms, and 
arms, especially the right,*". — [2870,] Loss of tactile sensibility on the 
anterior surface of the left wrist, left forearm, and lower half of left upper 
arm (the lead bar, when going into the furnace, slid over these parts). 
Tactile sensibility only diminished in the remaining portions of the left 
upper limb and in the palm of the right hand by which the metal was 
taken up,*'°. — Muscular strength considerably diminished in both arms; 
none in the left,*'*. — Complete insensibility of either arm from the junction 
of its upper with its middle third down to the finger tips. Tactile sensi- 
bility of these parts entirely abolished ; the hardest pinching, the deepest 
pricking with pins and needles, was unfelt; his hands being tied behind 
him, a glowing coal was placed in oup of them without eliciting any sign 
of feeling. Tactile sensibility was unimpaired in the shoulders and upper 
arms,"*. — Some analgesia and slight anaesthesia in both arms, but chiefly 
in the right,"*. — The extensor muscles of the upper limbs could not be 
made to contract by inductive currents of electricity ; a constant current 
excited some fibres in the left arm to contraction,*". — Tickling and changes 
of temperature less felt in the left upper limb,*™. — Numbness, formication, 
and weakness in the upper limbs, followed by all the symptoms of motor 
and sensory paralysis of those parts,*™. — Sensibility to tickling lost in the 
whole right upper limb and in tlie left hand ; is only diminished in the 
remainder of the left upper limb,*". — Sensibility to temperature slightly 
diminished in the right upper limb,*". — Sometimes he holds his arms against 
the hottest parts of the stove, sometimes wants to have them sprinkled with 
cold water,^'^ — [2880,] Insensibility to pricking of the whole right upper 
limb, also of the left hand, wrist, and forearm ; diminished sensibility of 
the left arm, yet burning caused pain,'". — Sensibility to contact and pain 
is diminished in the whole right upper limb ; he has to be pinched very 
hard to feel it; his skin may be pricked through without causing pain,*™- 
— Diminution of regional sensibility and of the sense of muscular move- 
ment in the right upper limb,**'. — Sensation of weight and powerlessness at 
the posterior surface of the midd}e portions of the arm and forearm,'*^ — 
All forced movements of the limb are painful,"". — The right arm is affected 
like the left, but in a less degree,™. — Cramps iu the superior extremities 
only,*'*.— Lacerating pain in the upper limbs,"". — [2890,] Lacerating pains, 
with occasional cramps, of the entire upper limb from the shoulder to the 
wrist. These are neither increased nor diminished by pressure or movement ; 
they are sharp one moment and dull the next. No redness or swelling. 
The pain seems deeply seated. Cutaneous sensibility is unimpaired. The 
aflTected limbs tremble slightly all the time,"l — The pains in the upper 
limbs are more acute about the shoulders and at the bends of the elbows,''^ 



PLUMBUM. 81 

— [2900,] Neuralgic pains in the upper limbs/°l — Pains in the muscles 
and joints of the superior extremities only,"^ — Pressure upon the joints of 
the upper extremities, especially on the elbows and fingers, sensitive,"^ — 
Pain and formication in right arm,****. — Fine boring in the right arm, ex- 
tending from the middle of the forearm to near the shoulder-joint, after 
breakfast (after three-quarters of an hour),*. — Dull, boring pain^ especially 
at the bend of the elbow, and extending up to the shoulder ; the hand is kept 
flexed, and cannot be straightened or lifted ; the arm cannot be raised ; uses 
both hands in carrying a glass to his lips ; on trying to straighten the bent 
arm, while the patient opposes the effort, the supinator longus is perceived to 
resist quite forcibly,^". — Transient tearing in the right arm,*'. — Shoulder. 
The shoulder is raised without difficulty,'*". — Cannot lift the right shoulder 
at all,''' "'I— Cannot raise the left shoulder.'^'.— [2910.] Apparent difficulty 
in moving the shoulder-joint, and especially in raising the arm ; the muscles 
are not wasted,*". — Both shoulders are depressed ; the upper limbs hang 
straight down, and he cannot lift them,"'. — The shoulder seemed depressed,"*. 
— Sense of weight at the shoulder and finger tips,'"". — There was a sense of 
weight in the shoulder, which was felt more in the elbow, and most of all 
in the wrist. The pains increased by the slightest exposure of the parts to 
cold ; and there was a cold feeling all through the limb, especially on the 
dorsum of the hand, which was perceptible externally,'*''. ^ — Feeling of 
weight in the shoulders, felt more in the elbows, and most of all in the 
hands,'**. — Movement of the right shoulder painful,*'*'. — Marked numbness 
in the shoulders,'**. — Violent pains in the region of the shoulders,'"'. — 
Acute pain in the shoulders, especially in the left, and along the extensor 
surface of the forearm on moving the upper extremity ; pressure on the 
deltoid muscle painful, especially in the left side ; on stretching out the 
arm there was decided tremor,**'. — [2920.] The shoulders were atfectedi 
with constant pain, especially the deltoid muscles, which also were slightly 
paralyzed,"'. — Pain in shoulders and arms; the latter were much wasted 
and useless,'*'. — Pain in right shoulder and between the shoulders,*'*. — ■ 
Pains in both shoulder-joints and in the flexor muscles of the upper arm,, 
so violent that he was unable to raise the arm,**". — Aching pains in the 
shoulders, extending down to the elbows, and more especially felt over the 
deltoid muscles,'"^ — Sticking in the shoulders,™. — Sticking from without 
inward, in the right shoulder (after one hour and a half),*. — Sticking be- 
neath the right shoulder, that extends outward at the shoulder (after two 
hours and three-quarters),*. — Some fine burning stitches on the right shoul- 
der (first day),'.— A stitch in the right shoulder,*.— ^rMt. [2930.] Both 
deltoids were remarkably small and atrophied, and the wasting of these 
muscles was so apparent as to be a disfigurement. The sharp, lean, bony 
shoulders, incongruously associated with the fine, full, muscular develop- 
ment of all other parts of the frame,'"". — He could not extend (laterally) 
or raise his upper arms, but the antero-posterior movement of both arms 
were comparatively unimpaired,"". — Remarkable immobility of the muscular 
fibres of the deltoid, while the surrounding fleshy parts are moving in dif- 
ferent directions. All other movements of the upper extremities are slow, 
feeble, and difficult, but not impossible,'*'. — Electrization of the anterior 
fasciculi of the deltoid muscle causes no marked contraction of its fibres,*'". 
— Severe myosalgic pains, which seem to be most intense about the point 
where the radial nerve leaves the spiral groove of the humerus,'"*. — Mus- 
cular pains only once in a while in the right pectoral is,*". — Bruised pain 
in the deltoid muscle,'. — Dull, very acute drawing in the bones of the upper 

VOL. Tin. — 6 



82 PLUMBUM. 

arm, hand, and fingers (fourth day),^ — Tearing in the middle of the right 
upper arm (after a quarter of an hour),*. — Boring in the right upper arm, 
together with tearing in the right lower teeth, afterwards with sticking in 
the left scapula (after two hours and a half),*. — [2940.] Tearing in the 
right upper arm beneath the shoulder (after two hours and three-quarters),*. 
— Tearing ou the inner surlace of the left upper arm, in the forenoon (sec- 
ond day),*. — Tearing in the lower portion of the left upper arm, in the 
morning (fourth day),*. — Acute drawing in the right humerus (eighth 
day),l — Tearing on the posterior surface of the left upper arm, which, on 
rubbing it, went into the elbow,*. — Unable to raise his elbow to the level 
of his head, or indeed, to that of his shoulder,°^l — Muscular twitches above 
the left elbow (after one hour and a quarter),*. — Some diminution of sen- 
sibility on the right upper arm,"'*. — Loss of sensibility in all the tissues on 
the external and anterior surface of the left deltoid region. Pricking with 
pins and needles, electro-puncture, friction in every direction, forced and 
violent contraction of the deltoid muscle, elicited no sign of sensation,'"'. — 
Feeling of weight in the elbows, and still more in the wrists,^"". — [2950.] 
A very annoying sensation of weight in the elbows, wrists, and fingers,""- 
— Joints'of elbow, wrist, and fingers slightly flexed,'**. — Twisting pains in 
the bends of the elbows, and the palmar surfaces of the forearms, worse by 
paroxysms; ameliorated by pressure,'^'. — Lancinating pains from the elbow 
to the finger-ends, without swelling, and without apparent paralysis of any 
muscle,'"". — Pains confined to right elbow and wrist-joints, and to muscles 
of right arm,**'. — Pains in the joints and muscles of the elbow, wrist, the 
fingers and their tendinous sheaths, knees, popliteal spaces, and insteps ; 
spontaneous or excited by movement and pressure,*™. — Sense of weight in 
elbows and wrists, and especially in the fingers ; it is felt more in the left 
limb,'^'. — Forearm. The forearms and hands, especially the left, trem- 
ble considerably,'"'. — Extensors of the forearm completely paralyzed,"^'. — 
Paralysis of the extensors of the forearm,"* *'■'''. — [2960.] Complete paral- 
ysis and atrophy of the extensors of the forearm, etc.,*". — On applying 
Gaiflfe's electrical machine, the extensor muscles were found to contract 
with difficulty, as also the deltoid and pectoralis major ; the flexors also 
contracted with difficulty, as also the outer layer of the muscles of the fore- 
arm, and the posterior rhomboid, trapezius, and longissiraus dorsi,^"*. — 
Complete debility of the forearm, affecting particularly the extensor mus- 
cles,"^*. — On waking suddenly, at 3 a.m., he found he had lost the use of 
his right forearm and hand ; the palsy was- not restricted to the extensors 
of the forearm, but also affected the flexors to a considerable extent,*^'". — 
Great loss of power over the extensors of both forearms, especially the 
right ; the affected muscles were greatly withered ; the paralysis gradually 
stealing upon him during attack of colic,*"*. — Loss of power in the right 
forearm and wrist. The extensor muscles are especially enfeebled, and he 
has wrist-drop ou the right side. The left arm and wri.st are also paralyzed, 
but less so than on the right side,"^". — Dropping of supinators soon after 
his first lead colic,**". — Left forearm semiflexed upon the arm ; it can be 
almost completely flexed at will, but its extension is impossible,'"^ — Prona- 
tion and supination of the forearm and hand are easily performed ; in the 
latter position, the flexors of the wrist aud fingers cease to act, so that the 
parts become extended by their own weight,'*". — The forearm is capable of 
supination and pronation, abduction and adduction of the wrist and fingers 
are only possible by flexing them,'"". — [2970.] The forearm is kept pro- 
nated ; supination is impossible,"". — "When at rest, the forearm is strongly 



PLUMBUM. 83 

pronated, it cannot be supinated ; it is semiflexed, and incapable of exten- 
sion,"".— The superior portion of the outside of the forearm (edge of the 
radius) is no longer on the same plane with the inferior portion, which is 
twisted inwardly,'*". — The arm and hand held edgewise, i. e., in a position 
midway between pronation and supination,'". — Both forearms fixed in pro- 
nation ; with much effort they can be brought to a position half way be- 
tween pronation and supination ; the hand does not take part in this move- 
ment,"^ — Electro-muscular contractility of the forearms greatly dimin- 
ished,''^ — Posterior surface of right forearm visibly atrophied ; a bony pro- 
jection is observed at the carpo-metacarpal region ; the skin of these parts 
is dried up and flabby,'^". — Muscles of the forearms and the thumbs are 
much wasted, the wasting being greater in the right arm and hand than in the 
left,"''' ""'.—The inferior portion of the forearm is emaciated; the hypothenar 
eminences especially are diminished in size ; upon the whole, the right arm 
is more affected than the left. Muscles of the right arm wasted, also those 
of the left, but in a less degree; also both deltoid muscles,"^ — [2980.] The 
muscles of the forearms, especially the extensors, were flabby, weak, and 
tremulous,*'^ — During the three years the muscles of the forearm became 
atrophied,*°^ — The posterior surface of the forearm is strikingly emaciated 
and flabby, while the anterior surface is more nearly of its natural size,"^ 
— The forearms are extremely wasted ; they retain their normal sensibility, 
but, at intervals, are affected by pretty strong cramps,"*. — The posterior 
surface of the left forearm is as much atrophied as that of the right ; the 
left thenar region has also fallen away ; its muscles have apparently van- 
ished,'^^ — The forearm, wrist, and hand on the right side were found to 
measure in every part of their circumference some four or five Hues less 
than on the left,'™. — Numerous pearl-like dilatations at the points of union 
of the veins of the forearms and hands, especially on compressing the 
venous trunks, and after working,'™. — Veins of the upper arm very large 
and knotted, varicose at the points of union, but the veins on the extensor 
surface of the forearm were scarcely visible even after compressure of the 
venous trunk,™. — Arteries of the forearms extremely rigid and tortuous,'"'. 
— The cutaneous veins of both forearms could not be seen, though after 
long working, on compressing the venous trunks, the cephalic could be seen 
on the left side, and on the right side a few dilated spots at the points of 
union of the veins,'™. — [2990.] During the worst paroxysms, the palmar 
surface of his forearm becomes hard and tense, and it is affected by cramps, 
which are renewed on movement,"". — Sensation of exhaustion in the fore- 
arms (fifth day),^ — Weakness of the forearm,'". — Bluntness of sensibility 
in the extensor surface of the forearm and fingers; the patient, however, 
is able to localize sensation ; sensation benumbed ; the test of electro-mus- 
cular contractility with the induced current shows in both arms moderate 
reaction in the extensors of the thumb, scarcely noticed in the extensors of 
the fingers ; there is, however, good reaction along the course of the me- 
dian and ulnar nerves ; there is no reaction in the extensors digitorum 
communes ; it is noticeable, however, that while the patient is able to ex- 
tend both hands, there is no trace of action in the extensors of the wrist,*^'. 
— Some anassthesia on the back of the forearm,*'^ — Analgesia and antes- 
thesia, especially of the forearms,'". — On both forearms, 68 millimeters of 
separation between the points of the aesthesiometer,"*. — Hypalgesia of the 
upper two-thirds of the palmar surface of the left forearm ; not so well 
marked in the rest of the left limb,*'". — Skin of the forearm partially in- 



84 PLUMBUM. 

sensible,^''. — Almost complete ansesthesia of both forearms, especially of 
the extensor surface/"*. — [3000.] No sensation when pricked or burned in 
the hands or forearms ; only a partial sensation in the lower half of the 
arms. Burning does not cause even a feeling of warmth, and no pain was 
experienced, even when the anterior surface of the forearm was burned so 
as to raise a blister ; yet there are severe pains in this region. Neither 
tickling nor changes of temperature are felt in the hands or forearms,*™. — 
Slight anEesthesia of the forearms; less in the fingers; it is much more 
decided in the lower extremities,*". — Boring pains all over the palmar sur- 
face of the forearm, in the bend of the elbow, and in the axilla; the upper 
arm is not painful ; ameliorated by gentle pressure, but somewhat aggra- 
vated by firm pressure ; constant, but returning in very hard paroxysms, 
during which he squeezed his forearms with his hands ; entreats to be tied 
round' with ropes, his handkerchief, etc.,''". — Excruciating pains in the 
forearms, with paralysis of the extensorSj^'l — Pain, especially in the left 
forearm, elbow-joint, and arm,*™. — Seized suddenly, in the daytime, with 
pains in both forearms ; these pains took a course which seems to have cor- 
responded with that of the radial nerve. They were so severe as to pre- 
vent sleep. At the same time, she felt a great deal of pain when stretch- 
ing out the hand, though able to perform the movement. Only the ring 
finger of the left, and the ring and little fingers of the right hand, could 
not be extended. In both elbow-joints there was a sort of uneasines, like 
a feeling of fatigue. This was also felt in the leg behind the ankle-joint,*'". 
— JVrist, The wrists and hands shake and tremble very easily under the 
influence of any emotion,"'. — A small bony elevation, formed by the pro- 
jecting heads of the second and third metacarpal bones on the back of the 
wrist,"". — Wrists much swollen, while extensors of hand are completely 
paralyzed ; supinators intact,°'°. — Wrists entirely dropped, from complete 
paralysis, b.iing perfectly helpless and unable to straighten either hand, 
unless by the aid of the opposite arm, and requiring all the care of an in- 
iant, in being fed, washed, etc., yet a comparatively good grip with his 
hands,"'- — [3010,] Marked wrist-drop, with wasting of forearms and 
hands. Has no power of extension of wrist-joint, and scarcely any power 
of separating the fingers,™". — Complete wrist-drop on the right side, incom- 
plete on the left,*"'^. — Wrist-drop of both hands, but the right hand more 
powerless than the left,™.— Wrist-drop,™ »" ="" **' '•'■' *=*, etc.— Subsultus ten- 
dinuni,*"*. — Wrist permanently flexed at a right angle with the forearm ; 
it could be further bent ; its extension, abduction, and adduction were im- 
possible ; it is somewhat turned inwards, so that the lower extremity of the 
radius forms a marked projection on its outer side,"". — Right wrist re- 
mained flexed upon the forearm,'*". — The right wrist is permanently flexed 
at an obtuse angle with the forearm. Instead of the hollow space which 
naturally exists at its ulnar border, there is a slight convexity ; while con- 
versely, the convexity at its radial border becomes a hollow space, so that 
the entire wrist and hand are twisted outwards,'"". — The wrist is quite for- 
cibly flexed upon the forearm, and can be bent still further by an eftbrt of 
the will, but cannot be extended ; abduction and adduction are equally 
impossible,"*. — The left wrist is carried into abduction ; its ulnar border 
has become convex. It can also be straightened into a line with the arm; 
in short, there is paralysis of the extensor carpi uluaris,"". — [3020.] The 
right wrist and fingers are semiflexed, and cau be bent still farther; when 
flexed as much as possible, the finger-ends fall upon the middle portion of 



PLUMBUM. 85 

the thecar and hypotheiiar regions. The semiflexed parts cannot be 
extended. When he shuts his hand, and then tries to open it, he merely 
stops contracting the flexors ; the extensors do not act at all,"". — Wrists 
strongly flexed upon forearms ; the left much more so than the right ; 
extension, abduction, and adduction are impossible. Fingers flexed and 
extended at will. All other movements of forearms and hands freely per- 
formed,"". — Eight wrist strongly flexed upon the forearm ; its extension, 
abduction, and adduction are impossible,"'. — Right wrisj; twisted inwards ; 
its radial border describes a bold curve ; it is incapable of abduction, and 
can only be carried a little further into adduction than when at rest. It 
cau be extended, but cannot be turned back upon the forearm ; on attempt- 
ing this movement, the whole hand is thrown into adduction,'"'. — The wrist 
is considerably flexed ; the fingers form almost a right angle with the met- 
acarpal bones ; when most flexed, their tips touch the thenar and hypo- 
thenar regions,"".— On clenching the fist, the flexion of the wrist is' in- 
creased in proportion to that of the fingers,"". — Right wrist flexed at a 
right angle with the forearm, and can be further flexed at will, but in- 
capable of the least extension. Pronation and supination of the forearm 
freely performed,'^". — Between the paroxysms, the right wrist and the semi- 
flexed fingers could neither be separated nor completely extended. When 
the hand was closed, the tips of the fingers reached only to the thenar and 
hypothenar regions. All other movements of the upper limb were easily 
performed. No paralysis on the left side. The paralyzed parts have re- 
tained their normal sensibility; no cramps or tremor. Sleep is good ; the 
senses are perfect; digestion well performed; a stool everyday,'*". — The 
left wrist cannot be extended,'^". — The wrist is quite forcibly flexed upon 
the forearm, and can be bent still further by an effort of the will ; but it 
cannot be extended,'**. — [3030.] The wrist and fingers are almost semi- 
flexed, and can only be slightly extended,'*". — Left wrist flexed at an ob- 
tuse angle with the forearm ; it can be bent further at will ; its extension, 
abduction, and adduction are impossible, or nearly so,'". — The wrist is 
slightly flexed on the forearm ; it cannot be extended unless the hand is 
placed edgeways ; it is with difficulty abducted or adducted at the same 
time that it is extended or flexed,"". — Complete paralysis of the right 
wrist ; the right hand dropped powerless, and could only be raised by 
means of the left, and he could not grasp anything,"''*. — Paralysis of the 
extensor muscles of the wrist and partially of the fingers,'"'. — Palsy of 
wrist and fingers, with decided tremor on trying to move them,'"'. — Paral- 
ysis of the extensors of the right wrist and hand,*"'. — Extension of the left 
wrist and fingers is slowly and feebly performed,'*". — When the left hand 
is closed, the wrist is easily extended, abducted, or adducted,'"". — The right 
wrist is less easily extended than the left; the extensors of the right wrist 
are somewhat paralyzed,*^'. — [3040,] The left wrist is flexed and extended 
with ease, when the hand is previously closed,'*'. — The wrist can still be 
straightened out upon the forearm, but in making this movement, it is 
brought into abduction, never into adduction ; during extension, the strong 
action of the radial muscles is plainly visible, while hardly the slightest 
motion can be detected in the extensor carpi ulnaris,'"*. — Weakness of 
■wrists and fingers (after the subsidence of the colic),'*". — Sensation of heavi- 
ness in the wrists and fingers,'™. — Sensation of weight in the extremities of 
the wrists and fingers,"". — Feeling of weight in the right wrist and fingers,'". 
-—Frequent attacks of pains, extending from the wrists u,p the arms,"'l — 
Pains in the articulations of the arm and hand, with convulsive move- 



86 PLUMBUM. 

ments". — Tearing on the lower surface of the right wrist, extending thence 
to the back of the hand and fingers, in the afternoon,*. — A peculiar sensa- 
tion of numbness in the left yfri3t*^\—TFand. [3050.] {The paHs chiefly 
exposed to contact with the paint were the right hand, wrist, and forearm; 
and these ivere also the parts most affected by paralysw),^^.—ln the upper 
limbs, the trembling is almost wholly confined to the hands, which move 
to and fro in almost uniform oscillations. Only when he is vexed or fa- 
tigued, does it spread all over the upper limbs. The tremor is always 
worse in evening than in the morning. He can still squeeze quite forcibly 
with either hand ; but as he is very powerfully built, it is evident that the 
strength of his limbs is not in proportion to his general muscular vigor. 
Measured by Duchenne's dynamometer, the compressive force exerted by 
the right hand is equal to 12 kilog., that of the left hand to_ 10 kilog., the 
pulling force is 62 kilog., which is certainly below what his appearance 
would indicate. The sensibility is entirely unimpaired. The muscles of 
the forearm contract as normally as those of other parts under the action 
of electricity. Tremor worse when he is intoxicated,"". — Trembling of the 
/lands,^' °^ ^" *" ^'^ — Constant violent trembling' in the right hand, almost 
disabling him from work ; unaccompanied, for eight days, by weakness, 
distortion, or pain of the part,'*^ — His hands tremble violently when he 
tries to take his shovel,°°^ — Hand unsteady and trembling,*".— Began to 
notice that his hands trembled a little when he was fatigued ; though his 
general strength seemed entirely uriimpaired,*"K — Had lead colic forty- 
seven years ago (his only attack), two or three months afterwards his 
hands began to tremble, and they have been trembling ever since, with 
some periods of remission and aggravation. He has ob.served that when 
anything goes wrong with him, the trembling becomes sensibly worse,*"". — 
When the hands are stretched out, they are both seen to tremble, the right 
one rather more than the left. The right ring finger hangs down semi- 
flexed, and cannot be completely extended. The paralysis of the extensors 
affects especially the last phalanx. On the left hand, only the ring finger is 
paralyzed. Thegrasp of the hands, especially of the right hand, is very weak. 
The lower limbs are somewhat weak, but do not tremble. Cramps in the last 
three fingers of the right hand, and in the calves,*'". — He began to feel first 
tremor and weakness in the hands ; the tremulousness increased ; it was con- 
fined to the hands and wrists ; his hands grew gradually worse for about six 
weeks, and then he had the "drop-wrist ;" the ligaments were very lax,^"l — 
[3060.] Tremor of the hands,"^". — Some lead tremor, especially in the 
right hand (with which she handled the type),*"". — Tremor, of the hands, 
especially the left,*"". — Sudden tremor of the right hand, while at work ; 
this slight agitation of the fingers was soon followed by paralysis (a week 
after being cured of colic). Four days later, tremor and paralysis of the 
left upper limb,'°l — Slight tremor of the right hand,''"^ — Slight tremor of 
both hands,*"' "■'". — Both hands drooped. Had the power of pronation but 
not of extension,'"". — The back of the hand is convex ; it exhibits two 
prominent projections formed by the heads of the second and third meta- 
carpal bones,"". — The back of the hand is convex; on the right side of the 
wrist is a small elevation formed by the projection of the second and third 
metacarpal bones ; on the left side a swelling, similarly formed, by the 
trapezium and trapezoid,"". — The backs of the hands were blue, clammy, 
and slightly infiltrated,'**. — [3070.] The back of the hand is curiously de- 
formed; the metacarpal bones form a concavity, being much enlarged 
where they articulate with the phalanges ; there is a small elevation on the 



PLUMBUM. 87 

wrist, formed by the projection of the second and third metacarpal bones,™. 
— It is impossible to close the hand entirely ; in attempting to do so, the 
tips of the fingers fall upon the thenar and hypothenar regions ; the last 
phalanges are very slightly flexed upon the second.'^l — Hands flexed upon 
the forearms ; when he tries to lift them he observes that the right hand 
is bent inward, and can scarcely be raised above the horizontal plane ; the 
left hand, on the contrary, makes almost a right angle with the forearm, 
and is not bent inwards,™. — The palm of the hand does not lie on the bed, 
but looks the other way,"".— Wasting of the muscles of the hand, accom- 
panied with great contraction of the flexor tendons and rigidity of the 
joints of the fingers. The hand has been stiff" and useless ever since stop- 
ping the Goulard lotion,"". — Phlegmonous swelling of the back of the hand 
and forearm, followed by an abscess, after the opening of which the 
patient improved,™. — Shortly after the occurrence of the paralysis, a cir- 
cumscribed swelling of the extensor tendons was observed, extending from 
the wrist to the middle or two-thirds of the metacarpus. The swelling was 
hard and nodose, but was formed without pain, although this was produced 
in a slight degree by pressure. The sheath of the tendon participated in 
the tumefaction, and on the back of the hand a series of three or four 
rounded and cylindrical digitations were observable, which caused a projec- 
tion of the skin to the extent of two or three millinneters. In one of the 
patients, as the paralysis of the muscles gradually disappeared in the 
course of two months, so did this deformity of the tendons,*". — Paralysis of 
both hands ; they hang from the forearms quite relaxed ; they are dry and 
deathly pale, constantly cold ; the backs of the hands are raised by scabs 
under which cavities are formed,"*. — Four days after the use of the water 
had been stopped, she was suddenly seized with loss of power in her hands, 
one morning (she had awoke in the night with a feeling of numbness in 
them),*™. — Incipient motor paralysis of the right hand ; with special weak- 
ness of the index and middle fingers ; their complete extension has been 
impossible for several years,*". — [3080,] Paralysis of the extensor muscles 
of the hands,''°.^Paralysis of the extensors of the hands and wrists,'". — 
Paralysis of hands and forearms, worse on the right side,*". — Complete 
paralysis of the extensor muscles of the right hand,^*^ — Lost the use of 
his hands three years ago, so that he could not grasp anything, nor 
button his clothing,*"'. — The hands were paralyzed to about the same ex- 
tent as the feet. They hung down at right angles from the forearms, and 
could not be raised at the will of the patient. The wrist-joints looked 
flaccid and powerless like the ankles. When the forearms were placed in 
the supine position, and then pronated, the hands dropped down into their 
hanging position, as if they had been attached to the foreai'ms by hinges. 
The flexors seemed to be somewhat paralyzed, but not nearly so much as 
the extensors. There was no well-marked emaciation, except of the bundle 
of muscles composing the ball of the thumb. These were wasted almost 
entirely away, so that the shape of the metacarpal bone of the thumb 
could be distinctly traced through the integument,*"*. — Paralysis of the 
hands, especially of the right,°^\ — Paralysis of both hands,*^ — Paralysis of 
the extensors of the right hand. He cannot stretch out the fingers hori- 
zontally; they are always semiflexed,*™. — Having soon satisfied myself 
that these fingers were completely insensible when pinched, I made him 
stretch out his right band as far as possible, when, despite all his eflfbrts, 
the little and ring fingers hung down semifiexed on the palm, while the 
other fingers were fully extended. He could bend the two paralyzed 



88 PLUMBUM. 

fingers somewhat further, but not completely. Impressed by this peculiar 
attitude of the hand, which at once brought to my mind that rare affection, 
local lead poisoning, I mentioned my suspicions to my colleagues and the 
■students in attendance. I questioned the patient concerning his occupa- 
tion. He said he was employed in the manufacturing of certain chemical 
compounds, where he rinsed bottles, etc., but distinctly denied that any 
preparation of lead was among the ingredients used, and insisted that the 
same was the case as to mercury. He had never had colic, and his gums 
showed not the slightest trace of a lead line ; but this was not inconsistent 
with my view of the case, under the supposition that the paralysis was due 
to the local and direct action of the raetal. I asked him if he was right- 
lianded. He answered in the affirmative. I then asked him to compress 
my hand in his right hand. He tried to comply ; but that hand had no 
grasping power, being especially weak at its inner border; a trial with his 
left hand, however, gave me severe pain. The right little and ring fingers, 
also the inner border of the right hand and the inner half of the palm and 
back of the same, were completely insensible to touch, pricking, pinching, 
cold, and tickling; the other fingers, and the rest of the right hand, re- 
tained their natural sensibility. In spite of the patient's denial that he 
had been in the habit of toucliing lead, or of Uj^ing a leaden tool, I assured 
him that he had been poisoned by that metal, which he had frequently 
handled with the last two fingers of his right hand. In order to convince 
him, I told him to take a sulphur bath, which, if it should have the effect 
of blackening the paralyzed hand only, especially its afiected parts, would 
show, beyond doubt, the presence of lead in his system, and the propriety 
of his following my advice. If otherwise, then I would confess myself mis- 
taken. I prescribed for him 1 gram of lod. Potass, daily ; and Iodide 
ointment to be rubbed with the right hand. Ju.9t as he was leaving the 
dispensary, he turned around and remarked, that " perhaps it was capping 
the vials which had done the mischief." Now, if I had not stuck to my 
theory, this case would certainly have slipped through my fingers. Seizing 
the cue thus presented, we got him to explain to us the mode in which he 
fitted on the leaden capsules. He applied the sheet-lead smoothly over 
the neck of the vial, by clasping the latter between the inner half of the 
palm and the last two fingers of his right hand ; after working in this way 
for awhile, these parts became covered with a grayish-black discoloration 
derived from contact with the metal. On re-examining the palm of the 
hand, we found two callosities on the inside of the knuckle-joints of the 
two paralyzed fingers, and none elsewhere. These sufficed to show that 
the patient told the truth, since these were the precise points most subject 
to friction during the process he had described to us,*^. — [3090.] Hand 
flexed on forearm and on the phalanges,*'^*. — Stiffness of the entire right 
hand ; in the left hand, of the fingers only,"^ — Left hand much enfeebled, 
but the right hand still more paralyzed, being unable to grasp an object. 
Lower limbs still quite strong,***^. — Her hands and arms presented all the 
characteristic symptoms of lead palsy; the wrists were dropped, and the 
power of extending the fingers almost lost, while the muscles composing 
the thenal and hypothetical eminences were remarkably atrophied,"^'. — 
Some inability to extend the hand, or open the fingers, from want of power 
or control over the muscles of the wrist,^''. — Weakness of the hands,^l — 
Right hand weaker than the left,*°^ — Weakness of the hands, especially 
the right,T — The right hand is too weak to grasp, anything ; the left, on 
the contrary, is as strong as ever,"l— Great difficulty in closing the left 



PLUMBUM. 89 

hand entirely,"*. — [3100,] After his first attack of colic, he began to per- 
ceive a difficulty in extending his fingers and hand ; drawings in the arms 
and legs,^^*. — His right hand is weak ; he can extend it, but not completely. 
When extended as far as possible, the ring and little fingers are less ex- 
tended than the other fingers, and form a curve whose concavity is directed 
towards the palm,°™. — Loss of strength in the right hand ; it is bent upon 
the forearm and cannot be straightened,'*'''^ — Weakness and trembling of 
the hands,''"''. — The hands, the left especially, have a weak grasp of any- 
thing,*'". — Muscular weakness and paresis of the extensor muscles of the 
hand, especially the right. The right hand does not grasp as strongly as 
the left,*'^ — The extensor muscles of the right hand no longer contract 
under the influence of electricity ; those of the left hand react readily,*™. — 
Grasp of right hand evidently weaker than that of the left,*'". — Either 
hand exerts a force of IS*^ by the dynamometer,™. — The compressive force 
exerted by the right hand is not great ; it is registered at 5 kilograms by 
Duchenne's dynamometer; the left hand is stronger, marking 5^ kilo- 
grams. The right hand is used with much difficulty ; he cannot button 
his clothes with it, but can still employ it in conveying food and drink to 
his mouth. Movements are performed quite easily with the left hand. 
There is not the least paralysis of the extensor muscles; their muscular 
contractility is practically unimpaired,■""^ — -[3110.] Compressive force of 
the right hand, as estimated by the dynamometer, 11 kilograms ; of the 
left hand, 9^ kilograms ; pulling strength, 50 kilograms,™'. — Entire loss of 
electro-contractility in the extensors of either hand,™. — Evident muscular 
weakness of the parts; compressive force of the right hand equal to 10 
kilograms ; that of the left hand to 9|- kilograms ; pulling strength much 
reduced ; only equal to 14 kilograms,'^'. — The muscular sense of the right 
hand is weakened,**'. — Skin of left palm entirely insensible to pinching or 
any other stimulus; superficial pricking was unfelt ; a pin caused pain 
only when thrust into the subcutaneous tissues. Strong pressure upon all 
this region ; a forced extension of the fingers was painful. The backs of 
the hands and sides of the fingers retain their sensibility,'™. — Loss of sensi- 
tiveness to tickling in the right palm; less sensitiveness in the right sole 
than in the left,**'. — On applying to the skin the lighted end of a match, a 
certain space is found to be insensible to the heat. This space includes the 
right hand and wrist, extending as far as the lower half of the dorsal sur- 
face of the forearm, but only 3 or 4 centimeters above the wrist, on its 
palmar aspect, so that it is shaped like a wrist-bandage, which is cut away 
slopingly from its posterior or dorsal portion. The transition from the 
total insensibility of this space to the normal sensitiveness of surrounding 
parts is gradual,*''^ — Right hand, especially the fingers, insensible to prick- 
ing and burning. The latter only causes a sensation of warmth,*". — Anaes- 
thesia of the hands, wrists, and forearms ; only partial insensibility of the 
lower half of the arms,*™. — Diminished sensitiveness to tickling of the 
palm of the right hand,*". — [3120.] Diminished sensibility to pain, tick- 
ling, and changes of temperature, in the right hand,*™. — Sensibility to 
tickling is somewhat increased in the right hand,**^ — Diminished sensi- 
bility to temperature of the right hand,**^*"^ — Diminished sensibility of 
the right hand, most marked on its dorsal surface,*'". — Diminished tac- 
tile sensibility of the right hand,*™**'. — Sensibility to tickling lost in the 
right hand ; diminished in the left hand,***. — Diminished sensibility to 
tickling in the hands, especially the right hand,**'. — Diminished sensibility 
to tickling and temperature on the palm of the right hand,**". — Diminution 



90 PLUMBUM. 

of sensibility and of sensitiveness, to pricking and burning, of the right 
hand, right wrist, and lower third of the back of the right forearrn,*'^ — 
The right hand is less sensible to changes of temperature than the left; 
this is still more the case, correspondingly, with the feet,"'. — [3130.] Slight 
diminution of tactile sensibility, and of sensibility to pain, in the right 
hand and lower part of the right forearm,"^ — Slight degree of ansesthesia 
in the right hand and forearm ; rather diminished sensitiveness when burnt 
on the right limb,™. — Slight ansasthesia, especially of the right hand ; on 
applying the sesthesiometer to the middle part of the anterior surface of the 
forearms, a difference of 8 mm. was observed in the distance at which the 
separated points could be felt,*". — Of the right hand, only the palm is de- 
prived of sensibility,"^ — Numbness in hands and arms,'"'™. — Cramps only 
of the right hand,*". — Jerking in the back of the left hand (after two 
hours and a half),*.^ — Pains in the left hand, with loss of power, on moving 
it,*'. — Sudden pain in hands and arms, followed by inability to use the 
hands,'®l — Fine sticking, extending inward, in the back of the right hand 
(after two hours and a half),*. — [3140.] Tearing in the right hand at the 
point where the pulse is felt (after two hours),*. — Fingevs. Spasmodic 
flexion of the last phalanx of the thumb and in the third finger,^'^ — The 
finger-nails become bluish-gray,"°. — Slight spasms of the fingers; these 
attacks were frequently repeated in the course of the next three days ; then 
paralysis set in,"".^ — Paralysis and atrophy of the extensor digitorum com- 
munis indicator, extensores digiti quinti et pollicis, extensores carpi (ex- 
cept the left extensor carpi ulnaris), abductor pollicis longus and brevis, 
interosseous muscle, deltoid muscles, biceps, brachiales interni, and the 
supinators,^*'. — Atrophy of the balls of the thumbs,^*". — About three months 
ago, he lost the power of the middle and ring fingers of the right hand ; 
and after the last attack the index and little fingers of the same hand be- 
came similarly affected,"'. — Paralysis of the flexors, and especially of the 
extensors of the fingers, chiefly on the right side ; he cannot grasp any- 
thing. Weak contraction of these muscles under the stimulus of elec- 
tricity,*™. — Shortly after the admittance of the painter, in case twenty-nine, 
we were consulted by a young man who stated that, a few days before, the 
last two fingers only of his right hand had become benumbed and para- 
lyzed. What astonished hira was, that his health otherwise was good,*''. — 
Paralysis of the extensor muscles of the right fingers. Hand semiflexed 
upon the forearm. Fingers bent into the hand,^°^ — [3150.] Unable to ex- 
tend the fingers of either hand,™""". — If his fist is clenched and he wishes 
to unclench it, he has merely to stop trying to contract the flexor muscles, 
when the fingers at once return to their state of semiflexion, the extensors 
taking no part in the movement,"". — The two left middle fingers are firmly 
flexed upon the liietacarpus ; the other fingers are similarly bent, but to a 
much less degree, and can be extended almost completely, which is not the 
case with the former. When the hand is shut, the two middle fingers 
reach only to the upper portion of the thenar and hypothenar regions; the 
other fingers touch the palm, but fall short of the lower metacarpus. The 
left middle fingers can only be separated when flexing them. The left 
thumb can be abducted, adducted, and brought into opposition. The left 
wrist, when at rest, is less bent than the right, and can be straightened out 
without previously shutting the hand,'^'. — The right fingers are bent almost 
to a right angle with the metacarpus; when the hand is shut, their tips 
only reach the upper portion of the thenar and hypothenar regions. When 
the hand is opened, and the flexors cease their contraction, the fingers re- 



PLUMBUM. 91 

turn to their semiflexed condition by a purely mechanical movement, in 
which the extensors take no part. The right fingers can only be separated 
partially, and when flexing them. The right thumb cannot be abducted 
or brought into opposition, but is still capable of adduction. The right 
wrist is kept somewhat flexed ; it can be straightened out only when the 
hand has been previously shut ; it is then capa,ble of adduction and abduc- 
tion,'^^. — The left middle and ring fingers are bent at a right angle with 
the metacarpus, and cannot be in the least extended ; the thumb, index, 
and little fingers can be extended pretty well, but not completely; the dor- 
sal surfaces of the latter describe a slight curve, and the superior extremi- 
ties of the index and little finger form a considerable angle with those of 
the middle and ring fingers. During extension of the wrist and fingers, 
and when the forearm is brought into supination, the forcible contractions 
of the supinator and radial muscles, and of the extensor carpi ulnaris are 
plainly visible ; and between the two lumps which they form is seen a very 
small portion of muscle which remains without motion : this is the extensor 
communis; on the back of the wrist, the tendons of the extensores proprii 
digitorum are seen contracting with their wonted energy ; abduction and 
adduction, impossible by the middle and ring fingers, can be performed by 
the index and little fingers, though in an obscure and uncertain manner ; 
the thumb is freely abducted, adducted, and brought into opposition, 
which last movement is easily effected by the little finger also ; the pha- 
langes can be bent on one another, so that the tips of the ring and middle 
fingers shall fall between the thenar and hypothenar regions, while the re- 
maining fingers touch the palm. The fingers of the right hand are simi- 
larly affected, but to a much less degree,'"'. — The fingers are bent upon the 
metacarpus, at an obtuse angle, which is almost a right angle ; they can 
be extended and separated a very little ; the last phalanges are but slightly 
flexed upon the second phalanges ; the hand cannot be firmly closed, and 
when this is attempted, the finger-ends come in contact with the middle 
portion of the thenar and hypothenar regions ; the thumb and little finger 
cannot be placed in opposition ; all other movements of the upper limb are 
easily performed, but they are rather slow and feeble,''"'. — The two middle 
fingers of the right hand are less flexed than those of the left, but their ex- 
tension and separation are equally impossible. The index and ring fingers, 
on the contrary, are held above the middle fingers, and are capable of com- 
plete extension and separation, but cannot long maintain the.se positions, 
being drawn into slight flexion by the weight of the paralyzed fingers, and 
by the permanent contraction of the flexors communi digitorum. On try- 
ing to squeeze a small object, the two middle fingers grasp it less firmly 
than the index and ring fingers. The thumb is moved naturally in all 
directions,'®". — The thumb is firmly flexed and turned inwards ; it can be 
further adducted, but cannot be abducted, extended, or brought into op- 
position. All other movements are easy,'®'.— The fingers are firmly flexed 
upon the metacarpus ; on shutting the hand, their tips come into contact 
with the lower portion of the thenar and hypothenar regions. The fingers 
can be but partially separated, and that only when flexing them ; on ceas- 
ing to contract, they are drawn closer together, and they are quite inca- 
pable of extension,"". — On the right hand, the ring finger alone is flexed 
at an obtuse angle, and it cannot be in the least extended ; yet it does not 
seem so much bent down as the left middle fingers, because the other fas- 
ciculi of the extensor communis digitorum kept it somewhat extended. 
When the fingers are closed, the ring finger does not get as far down as the 



92 PLUMBUM. 

others, neither can its abduction and adduction be fully effected/'^ — 
[3160.] The left fingers, excepting the thumb and index, are firmly flexed, 
almost at a right angle. Their complete extension is impossible. When 
the last phalanges are flexed as much as possible, the tip of the index 
finger falls upon the metacarpus, while the other fingers cannot be carried 
beyond the thenar and hypothenar regions. All the movements of the left 
thumb are performed naturally,"". — Right fingers flexed at an obtuse angle 
with the forearm ; can be extended |, and separated to a like distance. 
On shutting the hand, the right finger-tips fall beneath the thenar and 
hypothenar regions. The right thumb can be adducted and placed in op- 
position ; it is incapable of abduction or extension. Right little finger 
easily brought into opposition,'*^ — The left thumb is crooked, flexed at 
a right angle ; the second phalanx is less bent than the first. Its move- 
ments of extension, abduction, and opposition are abolished ; adduction, 
however, can still be performed,'"^ — Fingers of right hand considerably 
flexed upon the metacarpus; they are capable of very slight extension, 
especially the forefinger; on shutting the hand, the finger-ends fall some- 
what below the thenar and hypothenar regions. They cannot be far sepa- 
rated, except in the line of flexion,"'. — The two left middle fingers are 
semiflexed upon the metacarpus and cannot be extended ; on closing the 
hand, their tips fall on the middle portion of the thenar and hypothenar 
regions,'". — The left index and ring fingers are bent back ; slightly flexed ; 
only partially extensible; held above the middle fingers, so that, when the 
hand is shut, their tips fall below tlie thenar and hypothenar regions, but 
do not reach to the lower extremity of the metacarpal region,'". — Fingers 
of left hand kept flexed at an obtuse angle with the metacarpus ; their 
phalanges being similarly bent upon one another, and their extension, ab- 
duction, and adduction very imperfectly performed,'". — The fingers are 
flexed at almost a right angle with the metacarpus ; the two middle 
fingers appear somewhat more bent than the others, and can scarcely 
be at all extended by any effort of the will ; they can be very slightly 
separated, but only in the line of their flexion, '*°. — The fingers and pha- 
langes are more than half flexed ; on attempting to close the hand, the 
finger-ends touch the thenar and hypothenar regions ; the fingers can 
neither be separated nor approximated, except in the line of their flexion. 
The thumb and little finger cannot be brought into opposition,'"^ — The 
fingers are semiflexed on the metacarpus ; they are capable of partial ex- 
tension, adduction, abduction, and opposition; the hand cannot be firmly 
closed, as the finger-ends can only be brought to touch the lower portion of 
the thenar and hypothenar regions,"". — [3170.] The thumb is kept turned 
inwards ; it cannot be opposed to the other fingers, or abducted,'*". — The 
fingers, when flexed, can only be slightly separated,'*".— Middle and ring 
fingers of right hand became flexed so gradually, that he was hardly aware 
of it. During treatment for the colic, which supervened, the thumb and 
remaining fingers became bent in like manner,'*^ — The fingers, as well as 
the two phalanges, are more than semiflexed ; when he tries to clench the 
fist, the finger-ends are brought down on the thenar and hypothenar re- 
gions,'". — Fingers of one hand were curled up into the palm,™.— Fingera, 
especially those of the right hand, semiflexed into the palms,™".— Fingers 
flexed upon one another without muscular contraction,™. — From the 
beginning, he has observed that any attempt to stretch out the fingers 
results as follows : the middle and ring fingers are flexed, the thumb and 
little finger are extended,'™.— Both middle fingers are firmly flexed at an 



PLUMBUM. 93 

obtuse angle ; and are incapable of the least extension ; they can only be 
a little separated when in the act of flexion.'^l — Fingers difficult to move,^. 
— [3180.] No contraction could be obtained by magneto-electricity, nor by 
inductive currents of electricity, in the extensor comra. digit.; by the con- 
tinuous current (forty or fifty elements), a few faint contractions were pro- 
duced in these muscles, on closing the current. They were scarcely visible 
in the extensor of the left hand, and it is doubtful if they occurred at all 
in that of the right,"'. — Complete extension cannot be accomplished by 
the right fingers, nor by the left middle and ring fingers,**'. — The thumb 
and little finger cannot be placed in opposition, "^ — When the hand hangs 
down, the fingers can hardly be separated in the least,"". — The thumb cau- 
not be completely abducted ; the abductor pollicis lougus remains entirely 
motionless,''^ — Opposition or abduction of the thumb is almost wholly im- 
possible,'"". — The fingers cannot be separated except by flexing them a 
little,"'. — When the thumb is fully adducted, it is incapable of opposition 
or abduction, "^ — When the hands are kept forcibly extended, the fingers 
being flexed, he is unable to extend the latter, with the exception of the 
left little finger, and in a slight degree the right index,^'^". — When the hand 
is shut, the tips of the index and little fiugers reach to the lower portion 
of the metacarpus, while those of the middle fingers do not fall beyond the 
thenar and hypothenar regions,'*'. — [3190.] The left middle fingers are 
less easily separated and approximated than are the forefinger and little 
finger,"'. — The left thumb and little finger are easily brought into opposi- 
tion ; the left forefinger cannot be abducted,"'. — The thumb moves freely 
in every direction, as also do the wrist and forearm,"*. — The left index, 
middle, and ring fingers are easily and completely extended, separated, 
and flexed ; on shutting the hand, their tips touch the lower part of the 
metacarpal region. The left little finger, however, is firmly flexed on the 
metacarpus, and cannot be extended, separated, adducted, or brought into 
opposition,"". — Abduction of the right thumb is easy, adduction is impos- 
sible,"'. — The extensors of the fingers are very much enfeebled on both 
sides, but more on the right. The left hand grasps very well, but the right 
can scarcely keep hold of anything,*"^ — The contracted fingers when forci- 
bly extended, the extension causing pain up the whole arm to the shoulder, 
were almost immediately again completely flexed,'". — The index and little 
fingers are capable of complete extension, but cannot maintain it for any 
length of time, being drawn into flexion by the weight of the middle fin- 
gers, which are held immovably beneath them, and by the action of the 
flexores communi digitorum. Their power of abduction and adduction is 
unirapaired,'°^ — Sudden weakness of the fourth and fifth fingers of the 
right hand,*'^ — The feeling of weight in the left fingers is less decided than 
in the right,"'. — [3200.] Sensation of weight in the finger-tips,"l — Weak- 
ness of the right ring finger ; the left hand being almost unaflPected,*"*. — 
Loss of muscular sense in the right fingers,*". — Dorsal and palmar surfaces 
of little and ring fiugers entirely insensible to all stimuli ; the ana3sthesia 
extends also from the fourth and fifth metacarpal bones to the styloid pro- 
cess of the ulna. The skin of the inner surface of the middle finger, and 
of the third metacarpal bone is equally insensible. Pain is felt on thrust- 
ing a pin deep into the affected portion of the metacarpal region; and also 
on wringing or jerking violently the fingers whose skin is insensible. The 
fingers move without difficulty, but less nimbly than usual, and as if be- 
numbed ; but not one of their muscles is paralyzed,'"*. — Diminution of 
sense of contact. Cannot distinguish a fine fabric from a coarse one by 



94 PLUMBUM. 

the touch merely ,*°^ — The sense of touch, judging from the perception of 
polished surfaces, is somewhat enfeebled,''*^ — Sense of touch is weaker in 
right fingers,'^. — Slight dextral analgesia, especially of the finger-tips,"". — 
Formication and numbness in the right finger-tips,*™. — Peculiar sensation 
of numbness and fuzziness in the tip of the left fourth finger "'. — [3210.] 
Numbness of fingers,'"*. — Numbness of the fingers and the muscles of the 
back of the arm with wrist-drop. He could not pick up a pin, although 
sensation, which was tested by two points, but not by galvanism, was un- 
altered,''^l — Falling asleep of the right thumb (after seven hours),*. — Sen- 
sation of tension in the left thumb, painless, for five minutes,*. — The fingers 
feel as if much swollen, and heavy,™. — Cramps in the fingers whenever he 
tries to grasp anything ; but without pain,'"'. — Occasional cramps in the 
fingers,**'^ — Pain in the fingers,"^ — Tearing on the side of the left index 
finger, between the second and third joints, in the afternoon,*. — Tearing in 
the left thumb (after two hours and a half),*. — [3220.] Tearing in the 
right ring and middle fingers, towards the tips, disappearing after rubbing, 
but returning violently (after one hour),*. — Transient jerking in the left 
thumb (after seven hours),*. 

Inferior Extreinities. — CEdema of the lower extremities,*^'. — 
Complete paralysis of the lower extremities; they seem numb and dead,*°.f 
— Complete paralysis of the right lower extremity,™. — In the lower ex- 
tremities paralysis of the peroneal muscles and extensors of the toes,**\J — 
Paralysis in the lower extremity of the peroneal muscles and in the ex- 
tensors of the toes,***. — The right leg is somewhat flexed upon the abdo- 
men,"". — The left lower extremity is paralyzed as the right, except that 
the foot is twisted inwards by the permanent contraction of its " adduc- 
teurs flechisseurs" upon the leg; the latter muscles acting naturally, while 
their antagonists, the abductors, are paralyzed. Complete atr6phy of the 
tibial region,'*'. — Sudden difficulty in going upstairs ; without previous 
pain,™. — [3230.] Loss of power in the lower extremities, while walking 
(first day),^ — At present there is no trembling of the inferior extremities,*"". 
— Standing, and much more walking, are impossible. When he tries to 
stand, the thigh is flexed upon the leg, and the leg upon the foot, so that 
he falls down ; the sole of the foot forms a deep hollow,'*'. — Gait unsteady,"^ 
578 585 — Q^jj. jg y^g^k aud tottcrlug from laxity of the knee and ankle- 
joints,'"". — Gait became tottering and unsteady,"\ — One foot began to drag, 
and soon he could only creep about " on all fours."' The hand of that side 
was also soon affected ; he could not button his clothes or cut his food, and 
was carried up and down stairs. Soon he regained power of his limbs. 
Again the paralysis returned, and the necessity of creeping, but I think 
the hand this time was only slightly affected. A subsequent amelioration 
took place,^. — The mother perceived that the gait of the youngest was 
awkward, that he frequently tumbled down in crossing the floor, that he 
staggered and complained that it hurt him to walk, and that his feet 
pained him, especially the bottoms of them. Soon the other children com- 
plained in a similar manner,'^*'. — Lower extremities either cramped or par- 
tially paralyzed,*"'. — The lower limbs are the seat of an intense reflex ex- 
citability, aroused by pressure on the painful parts ; it is especially severe 
in the left,*'". — [3240.] During the paroxysms, which occur oftener than 
every five minutes, he tries to obtain relief by moving about in, bed, also 

f From the internal use of the Acetate of lead. 
X Completely simulating infantile spinal paralysis. 



PLUMBUM. 95 

by extending his limbs, which is impossible, on account of the strong spas- 
modic contraction of their muscles. Soon, however, the period of relaxa- 
tion arrives; quietude returns; and the cramps and acute pains cease. 
The paroxysms occur more frequently in the night than in daytime,"". — 
The tremor of the lower limbs does not affect the gait, but when he is sit- 
ting or lying, or when he is required to lift his legs, they tremble very per- 
ceptibly ; the right limb much more than the left. The power of resist- 
ance to forced flexion and extension, though lessened, is still considerable'. 
Sensibility unimpaired in both upper and lower limbs,^"'". — He cannot walk 
without the aid of a cane, and drags the foot along as stiff as a poker, 
being unable to plant the entire sole upon the ground, "'^ — Walking is diffi- 
cult ; he drags his right leg,^". — Walks with difficulty ; is not very steady 
on his legs, but feels the ground well,"". — When he attempted to walk he 
faltered in both legs, which seemed to converge at the knees,'". — I started 
to run a short distance, and fell forward flat ; ray legs seemed not to obey 
the will; two or three times, while standing or walking on the smooth floor, 
my knees suddenly bent, and I fell ; I fell repeatedly while dressing,™^ — 
Movement of the right lower extremity became difficult,™. — Long stand- 
ing is impossible ; walking is painful and staggering ; he drags his feet so 
that they stumble over the slightest obstacle, and he can hardly go up or 
down stairs,™. — Walking is difficult and staggering; he drags his feet along 
so that the least obstacle causes stumbling,"". — [3250.] Very evident want 
of motory co-ordination in the movements of both legs. When he tries to 
move them, the muscular effort is not exactly adapted to the desired end ; 
walking is very difficult ; he strikes the ground with his heel, when he put 
his legs out ; in walking with his eyes shut he staggers, and would fall 
if unsupported i^''^ — The lower limbs oscillate, but not sufficiently to im- 
pede the gait,"^'. — Scarcely able to walk for twelve months,"^ — Walking 
was difficult, a few steps caused fatigue,*"'. — Considerable muscular weak- 
ness of lower limbs ; standing is difficult, and he cannot walk far,^'". — 
Long standing is impossible,'". — Weakness of the lower extremities, in- 
creasing so that the patient was unable to walk or stand,*°°. — Weakness of 
the lower limbs,**'^ — Weakness and stiffness of lower extremities,*". — Weak- 
ness of the lower extremities, in the afternoon,*. — [3260.] So great weak- 
ness of the lower extremities that she could scarcely keep upright,"". — 
Painful prostration of the lower extremities,*". — Great weakness of the 
lower extremities,^'" ^■'".— The numbness, before spoken of, affected the right 
limb a day or two after, and soon extended over the whole of both limbs, 
from the buttocks to the toes ; and, for a long time, I so lost the sense of feeling 
in them, that I had no consciousness of where the feet were, unless I saw 
them ; for many weeks I did not know whether one foot touched the other 
in bed,'^"'. — Numbness and stiffness of the lower extremities,'™. — Numbness 
and stiffness of lower limbs, so that frequently he was not aware when 
they touched the ground,^*®. — Ansesthesia of the whole right lower limb 
and corresponding arm, also of the whole right chest, right abdomen, right 
loins, and right back, as in hemiplegia ; it is bounded exactly by the me- 
dian line, before and behind,*". — The sensibility of the lower extremities 
is unimpaired,'™. — Anaesthesia of the lower extremities,*'". — Both lower 
limbs equally sensible to touch,*". — [3270.] The lower limbs, especially 
the calves, are affected with strong cramps,'*'. — Cramp in the whole of the 
lower extremities,"*- — Cramps in the lower extremities,'*"- — Frequent 
cramps in the lower extremities,*''^ — Frequent short-lasting cramps in the 
lower limbs,*". — Cannot bear his weight on the affected limb ; can scarcely 



96 PLUMBUM. 

walk from one bed to another with the aid of a crutch or cane,"'. — * Vio- 
lent pains in the lower extremities, chiefly in the anterior portion of the thighs 
and in the calves, so that he could with difficulty rise up in bed,"". — *Vio- 
lent pains in the lower extremities, especially in the knees and thighs, with 
at times cramps in the calves,'". — *Most violent pains, extending from the 
hips to the knees, as though pierced with needles,^**. — *From time to time very 
sharp neuralgic pains, always seated in the lower limbs, though not limited 
iJ the joints, nor to any particular spot™. — [3280.] Great pain in the lower 
extremities,^". — The pain in the lower extremities was also very severe, 
commencing in the soles of the feet, which were so sore that he dreaded to 
touch the floor with them, and shooting up the limbs to the lumbar region 
with dreadful suffering,"'. — Rather severe pain in the lower limbs, especi- 
ally about the calves and soles of the feet,"". — The pains are more acute 
in the lower limbs than in the upper,"'. — Contemporaneously with the loss 
of animal contractility in the upper limbs, the exaltation of sensibility in 
the abdomen began to involve the inferior extremities. Severe bruised 
pains were felt in the forepart of the thighs, in the knees, calves, and soles 
of the feet; pains were also experienced in the lumbar region. They all 
disappeared entirely along with the colic ; the paralysis alone remained,'°^ 
— *Extremely acute and paroxysmal pains, as loell as cramps, in the lower 
limbs,"''. — *The pains in the lower limbs are worse hy paroxysms ; they are 
diminished by gentle pressure, but increased by movement,"'. — *The lower 
limbs only, and especially the knees and thighs, are affected by severe parox- 
ysmal pains,"^'^. — Intermittent contusive pains, confined to the lower ex- 
tremities, and especially felt on the soles of the feet, and around the knees,"". 
— Remittent pains in the lower extremities, especially in the soles and 
about the knees, with cramps in the calves,'". — [3290.] Lacerating pains, 
without redness or swelling, all over the lower limbs, but worse in the pop- 
liteal spaces, calves, and soles, than in the thighs or in the other portions 
of the legs and feet,"'. — Pains in lower extremities, especially the soles of 
the feet,"l — Pains always confined exclusively to the lower extremities, con- 
sisting of rheumatic pains in the knees and feet, and in the muscular por- 
tions of the thighs and calves ; these muscular pains were excited by any 
movement, and were accompanied by cramps,™'. — Pains, spontaneous and 
aggravated by niovemeut and pressure, in the lower limbs, which are red 
and inflamed,*^. — Pain on pressure, in the lower extremities ; apparently 
rheumatic, though there were no rheumatic antecedents,"'. — Pains in lower 
limbs, with a sense of weakness, stiffness, and numbness,"^. — Pains encir- 
cling the lower limbs,'" "". — Bruised pains, with at times, cramps, becoming 
worse by paroxysms, in the lower extremities, especially the knees and 
soles of the feet,™.— Tearing pains in the lower extremities,"*. — Shooting 
pains, extending from the soles to the hips, when walking or standing,'*'. — 
[3300.] *Lightning-like pains in the lower limbs,*'". — Sensation of pa- 
ralysis in the lower extremities,'". — Hip. (After a period of general 
fatigue, he felt, eight days previous to entering the hospital, some pain in 
the hip-joints, aggravated by walking.- This extended to the malleoli, and 
obliged him to stop work for half a day. In the course of the following 
three or four days, he had two attacks of dizziness. Finally, there was 
oedema, with pain on pressure and during movement, which subsequently 
were in great part transferred to the knees),'"". — Sticking in the region of 
the right hip, afterwards in the right hypochondrium, relieved by walking, 
in the afternoon,*. — Sticking in the right hip, the whole afternoon, always 
on moving the right arm towards the left,'. — Acute drawing in the right 



PLUMBUM. 97 

hip-joint, while lying (first clay)/. — Thigh. Both thighs slightly flexed 
upon the pelvis, in consequence of the semiflexion of the leg upon the 
thigh, caused by paralysis of the triceps and anterior crural, and the re- 
sulting permanent contraction of their antagonizing muscles,"'. — Tiie an- 
terior portion of the thigh is wasted away so as to form a striking con- 
trast with the remainder of the limb,"". — Glutei muscles and the large 
extensor on the front of the thigh were greatly wasted ; while the biceps 
and flexors, from the trochanter of the ilium to the tibia, were unusually 
strong and active, indeed in a constant state of contraction,™. — Spasmodic 
shaking in the right thigh above the knee (after six hours),*. — [3310.] 
Feeling of weariness in the extensor and adductor muscles of the thigh,*". 
— After an hour's drive in a gig, a cramped feeling in the thighs, so un- 
comfortable that I seldom drove in any vehicle in which I could not stretch 
the limbs straight,'''^ — Numbness over left thigh and buttock, with a di- 
minished sensibility,'''. — Bruised pain in the thighs,™'. — A paralytic pain 
or a painful paralytic sensation in the thigh, knee, and ankle-joints on 
ascending steps (first day),^ — Spontaneous pains in the thighs, knees, and 
tips of the toes,"*'. — Severe pain in the thighs and knees,"*'. — Lancinating 
pains and very frequent cramps in the thighs, knees, calves, and soles of 
the feet,"°. — Lanciuations in the posterior and inner portion of the thighs,™. 
— *Laceraiing pain, without redness or swelling, in the forepart of the thighs 
and knees ; becoming worse at intervals ; decidedly increased by movement, 
and scarcely alleviated by pressure,^^^. — [3320.] Lacerating pains in the 
forepart of the thighs, and in the popliteal spaces,'*'. — ^Pains in the thighs,"'. 
— Pain along the course of the right sciatic nerve,™. — Pains in the adduc- 
tors of both thighs and in the extensor muscles of the left thigh ; these 
regions were painful to pressure,*"'. — Pain in a small spot in the middle of 
the left thigh, a hand's breadth below the groin, as if a tendon would 
snap, always at the commencement of a step, while walking,'. — Burning 
pain, usually in not large spots, mostly in one or the other thigh, or in 
both at the same time,*^ — Prickings in the anterior portion of the thigh,"*^ 
— Pricking pains in the forepart of the thighs, in the popliteal spaces, and 
in the tibial and peroneal surfaces of the legs, increased by movement, and 
diminished by pressure; they alternate with occasional cramps in the 
thighs,'**. — Tearing in the middle of the inner surface of the left thigh 
(after three-quarters of an hour),*. — Jerking sticking in the inner and 
upper portion of the left thigh, in the afternoon,*. — [3330.] Jerking a 
few times in the left thigh, not relieved by rubbing (after three days),*. 
— Stitches in the right thigh, then also in the left, when walking (third 
day),'\ — Knee. Inability to extend the knee,'"". — StiflTuess of the 
knees,'**". — Knees and legs, at times, extremely feeble,™. — Knees became 
weak and stiff, making locomotion painful,'"'^ — When fatigued, he feels 
particularly tired in the knees,'**. — When he is fatigued, there is an 
especial sense of weariness in the knees,"*. — Weariness of the knees, on 
ascending steps (first day),'. — Feeling of weight in the knee, when walk- 
ing,'"". — [3340,] Two painful zones in the left leg, viz., at the ankle and 
knee-joints; ansesthesia of both legs, especially the left, to touch, tempera- 
ture, and pain.^'*. — Peculiar "aching" in the bend of the knee, which was 
apparently seated in the bone,"l— During the paroxysms, the popliteal 
spaces and calves, as also the backs and soles of the feet, are seized by very 
painful cramps, temporarily relieved by pressure and walking; the muscles 
of the affected parts are very hard ; the legs and feet are flexed. When 
the cramps cease, they are succeeded by a sensation of tearing,'". — Dull 

VOL. VIII. — 7 



98 PLUMBUM. 

pain, deep internally, in the right knee, in the morning, on ascending 
steps,^. — Bruised pain in knees and thighs,^'". — Bruised pain in the knees, 
popliteal spaces, and soles of the feet,"". — Very acute pains, passing from 
the knees to the soles of the feet, where they are much more severe than 
anywhere else. The backs of the feet, the toes, calves, and popliteal spaces 
are painful in degrees varying according to the order in which the parts 
are named. The pain is tearing, worse by paroxysms, increased by walk- 
ing and movement, and diminished by rest, but never affected by pressure; 
it is accompanied by a feeling of burning heat, without redness or swelling, 
■which keeps him trying to place the parts in contact with cooling things; 
the warmth of the bed increases the pain. Now and then the cramps are 
felt in the calves and in the soles of the feet, which parts are also some- 
times troubled with pricking and formication. Sometimes jerks and 
shocks, as of electricity, pass all through the body, and especially affect 
the lower extremities. The arthralgia is worse at night. At last, he is 
completely prostrated by the violence and duration of the pains,"'. — 
Firmly-seated pain in the knee, under the soles, and between the lower ex- 
tremities, even in the feet, making walking difficult, lasting two days 
(twenty-first day),*'. — Lancinating pains in the knees, popliteal spaces, 
calves, soles of feet, bends of elbows, metacarpi, and temples ; constant, but 
worse by paroxysms; diminished by pressure; unaffected by motion. The 
excessive sensibility, which is unaccompanied either by redness or swelling 
of the parts, is most acute in the popliteal spaces and calves,"'. — Lancina- 
tions, at intervals, in the knees, calves, and soles of the feet, ameliorated 
by the warmth of the bed and by pressure; between the paroxysms, there 
is merely a feeling of constriction,'^*. — [3350,] Lancinating pains from the 
knee to the soles of the feet ; in the latter parts there is felt, five or six 
times a day, a kind of heat, lasting ten minutes, and neither increased nor 
diminished by motion or pressure,""*. — Lacerating pains in the knees, 
calves, soles of the feet, and palmar surface of the forearms ; increased by 
movement, diminished by pressure, worse by paroxysms, during which 
there are often cramps,'^''. — Violent lacerating pains in the knees and soles 
of the feet, increased by movement and the warmth of the bed ; amelior- 
ated by light friction, but aggravated by firm pressure. The pains become 
more acute at intervals, and are then accompanied b}' cramps in the feet,''^ 
— Lacerating pains in the popliteal space, calf, and sole of the foot, worse 
by paroxysms, during which there are cramps; the pains are increased by 
motion, and diminished by pressure,'*'. — Pain in the kuees,*''^ — Pains in 
the left knee, with a good deal of effusion,™. — Pain in the right knee and 
left hip,°". — Lame, weak, painful limbs, particularly in knees,™. — Pains 
in the knees and ankles,'*l — Pains in the knees and feet,'*°. — [3360.] Pains 
in the knees, especially in the inner portions,'". — Violent tearing-jerking 
pains in the knees, so that walking became impossible,*"". — Tearing above 
the left knee, while standing, disappearing on rubbing ; then a sticking in 
the right hypochondriac region, after sitting, in the afternoon,*. — Violent 
sticking in the right knee, while standing, disappearing while moving it 
back and forth, in the evening,*. — Sticking through and through the right 
knee (after two hours),*. — Some fine burning stitches in the inner side of 
the left knee, while sitting (first day),'. — Leg. Shaking, like a trembling 
of the legs (after two hours and a half),*. — Legs tremble, but he moves 
them in every direction ; he walks with difficulty,™. — Spasmodic contrac- 
tion of the legs,"'. — The right leg was semiflexed upon the thigh when the 
patient stood up; he could flex it further, but not completely. Extension 



PLUMBUM. 99 

was impossible ; the knee could not be straightened. The right thigh was 
somewhat flexed upon the abdomen. All the other movements of the 
limb were performed naturally. He could not stand on the affected limb 
alone. While walking, which was only possible for a few minutes, and 
with the help of a cane, he dragged the right foot along, on tiptoe,'"". — 
[3370.] The right leg, when left to itself, either in sitting or when stand- 
ing up, is semiflexed upon the thigh, and can be flexed further, but not to 
the full extent ; in lying down, it is extended, by a mere mechanical move- 
ment; it cannot be spontaneously extended in the least,'"'. — Left leg almost 
semiflexed upon the thigh, and can only be very slightly extended ; its 
complete flexion is rather difiicult ; all other movements of the lower limb 
are freely performed,'"*. — Leg semiflexed upon the thigh ; it can be flexed 
still further, but not completely ; long standing is impossible; walking is 
painful and staggering; he drags his feet after him, so that he stumbles 
over every obstacle ; he can hardly get downstairs, but goes upstairs more 
easily ; when fatigued, his knees feel particularly tired ; all other move- 
ments of the lower limbs are easy,"". — Inability to stand upon the leg, ex- 
tend it, or flex the thigh upon the abdomen, and the thigh was very much 
atrophied, being about one-half the size of the other. There was loss of 
motion in all the muscles supplied by the anterior crural nerve. In at- 
tempting to raise the leg, it turned outwards by the action of the biceps, 
and in crossing the leg over the other, the patient required to lift it with his 
hands,*"". — The leg is semiflexed upon the thigh ; it can only be extended a 
little with great difBculty,'™. — Great difficulty in extending the leg upon the 
thigh ; it cannot be fully done,'*". — It caused paralysis of right leg, and the 
right thigh always remained smaller than the other,*''. — The tibialis anticus 
and perouseus tertius are paralyzed,'*'. — Occasionally, much pain in upper 
part of one leg, and on examination distinct varicosis was found (none ex- 
isting about the ankles) ; this swelling of the principal cutaneous vein at 
the back of the right leg had existed only a short time (two or three weeks) ; 
Hamamelis 3d reduced it in about three weeks,*"". — Enlarged veins on the 
calves, with numerous varicose' dilatations,^'". — [3380,] Legs swollen, espe- 
cially about the ankles (for three or four days),*'". — Symptoms of the legs 
are similar to those of the arms, except that the extensors of the feet are 
very little paralyzed,*^*. — Some weakness and flabbiness of the muscles of 
the" legs,*''"'*"'. — The right leg is rather weaker than the left; it gets tired 
sooner,*™. — The weakness of the right leg and thigh becomes apparent, on 
making a comparative examination of the lower limbs, while the patient 
lies on his back,*". — Her legs are weaker,*'". — Great weakness in the legs, 
particularly in the knee-joints,^'". — Legs weak ; seldom affected by cramps,*™. 
— Insensibility of the posterior portion of the right leg, from two inches 
below the knee to the ankle. The sticking of pins and acupuncture needles 
into these parts was unfelt. Neither pinches, blows, pressure, forced move- 
ments of the limb, nor any other stimuli, elicited a sign of feeling. Above 
and below these limits, as also in the tibial and peroneal regions, the sen- 
sibility of the limb was unimpaired. A slight sensation of numbness in 
the insensible parts,'"". — Slight degree of hypersesthesia in the muscles of 
the calf,*'".— [3390.] Cramps in calves, especially the right,*"^.— Violent 
cramps in the calves, so that he cried aloud,"*. — At times, extremely pain- 
ful cramps in the calves, which prevent extension of the leg upon the 
thigh ; to get rid of them he jumps out of bed, and presses his feet hard 
on the floor. These pains are worse at night,'"". — Much cramp in legs,"". — 
Cramps in the muscles of the calf and thigh,*'l — Cramp in the calves and 



100 PLUMBUM. 

toes,**'. — Cramps in the legs, at times intense,'^". — Cramps in the calves "^^^ 
192 2w 245 477^ gj-g — Ci'amps ill right calf,"°. — Falling asleep of the left leg, 
from the knee to the foot (after a quarter of an hoiir),^ — [3400.] Painful 
sprained sensation on the outer side of the right ankle, on stepping upon 
it, in the morning, after rising, and continuing through the morning (fifth 
day),l — Muscles of the calves painful,'". — Bruised pain in the legs, after 
rising, in the morning, disappearing after walking about (after two days),*. 
— Very severe pains in the lower parts of the legs, the calves, and popliteal 
spaces,'".— Sharp pains in the calves, before the colic,^^^ — Pain in leg ; fre- 
quently woke in the night in most intense agony; a sudden jump, with 
hard rubbing, would very soon cause relief,^"'. — Pains in the left leg,*". — 
*Pains in the legs, especially at night,^^. — Pains in the right calf,**'. — Tran- 
sient pain in the tibia, when walking (first day),'.— [3410.] Intolerable 
lancinations in the legs, arras, and fiugers,^". — -Tearing in the left leg, 
towards the instep; on rubbing, it extends into the hollow of the knee; 
afterwards, again sticking in the former place, that disappeared after rub- 
bing, in the afternoon,*. — Jerking in the right tibia (after two hours and 
three-quarters),*. — Sticking in both calves,disappearingof itself (third even- 
ing),*. — Violent throbbing, in a small spot, on the outer side of the right calf, 
while lyiug down (first day),''. — Ankle, CEdema about the ankles,*"^'. — 
Her ankles were oedematous, and the legs covered, posteriorly, by many 
livid spots and superficial ulcerations,^''. — Swollen ankles; they had been 
in that state for three or four weeks ; the anasarca extended about half 
way up the leg; quite reduced ia two months by Arsenicum,''*'"'. — Bony 
projection on the ankle,"". — Swelling aud pain in the left ankle-joint,°'^ — 
[3420.] Pains in the left ankle, extending up to the knee,***. — Pain in mal- 
leoli,'"*. — Foot. Feet swollen, '".f — Feet and legs considerably swollen,**^. 
— CEdematous swelling of the feet,^'°. — CEdema of the feet,"". — Gout ia left 
foot,"'". — A spasmodic working of the feet from side to side troubled me, 
and they would often draw back out of the shoes. I was unable to draw 
on a boot. While sitting still, the legs would insensibly draw back on the 
thighs, till the feet got entangled under the'chair; this involuntary draw- 
ing back of the leg made it very difficult to go upstairs; a man held the 
foot on the first stair, while a person behind assisted me to rise so as to 
place the other foot on the next stair ; and then the man would hold that 
foot in place, or it would certainly have drawn back so as to have thrown 
me down. While going downstairs, I straightened the whole limb before 
planting the foot upon the next stair, aud, with the help of a man and the 
banister, could get down safely,"'". — She passed most of her time sitting up 
in bed, and while in this position her feet dropped over, and inclined in- 
ward, so as nearly to rest on their inner border, apparently from paralysis 
of the extensors, which should have supported them in an upright position. 
The toes also remained moderately flexed, and she could not extend them. 
There was much apparent laxity of the ankle-joint, and the patient was 
incapable of moving the feet, or supporting the weight of her body upon 
them. When she was lifted up in the arms of an assistant, she cried out, 
and drew her feet under her body, for fear she would be made to attempt 
standing on them. The feet also appeared to be tender, as she cried when- 
ever they were freely handled,'"*. — The right foot is firmly extended upon 
the leg ; it cannot be flexed nor carried at the same time into abduction 
or adduction ; the foot points downwards, while the heel is drawn high 

t From large doses. 



PLUMBUM. 101 

up,"'.— [3430.] The foot is kept extended and motionless ; it cannot be 
flexed in the least, and its abduction and adduction are equally impos- 
sible,'".— The foot is extended upon the leg, and cannot be flexed nor 
brought into adduction or abduction, at the same time that it is attempted 
to flex it; all other movements of the lower limbs are unrestricted,"*. — 
The right toes are strongly bent upon the metatarsus; they can be further 
extended, but cannot be flexed upon the foot or separated in this way. The 
right foot is strongly bent upon the leg; it is incapable of flexion ; its ab- 
duction and adduction can only be effected by extending it, and causing 
the leg to move the whole foot at once,"". — The left foot is pointed down- 
wards ; the toes are firmly flexed ; the instep is on the stretch, so that the 
heel is lifted high up,"l — The foot points downwards; its plantar surface 
is hollow, so that he can hardly stand, much less walk,"'. — The dorsum of 
the foot is arched, and the sole much hollowed,"". — Shortening of the foot 
by several lines, with paralysis and atrophy,".f — General diflSculty in put- 
ting the foot to the ground ; the soles seem dead, as if made of wood, and 
when stepping it seems as though there were several round sausages under 
them, that prevented a free gait (fourth day),". — In walking, the feet are 
lifted like dead weights, and when extended strike hard upon the ground, 
by pressure against which their flexion is effected. He seems to move by 
skips and jumps,"". — Lateral movements of the foot are impossible,"". — 
[3440.] Weakness of the feet,'^ — Heaviness and weariness of the soles of 
the feet, especially noticed while sitting,". — Heaviness of the feet, especially 
of the knees,". — Diminished sensibility to painful impressions on the back 
of the right foot,"'. — Numbness of the feet,*°l^Feet constantly inclined to 
fall asleep,". — Sensation of softness in the sole of the foot when touching 
the ground,*™. — Cramplike contraction in the muscles of the sole of the left 
foot, during rest, relieved by raising the foot and by motion ; lasting sev- 
eral days,^ — Cramps in the feet,*'. — Cramps and lancinations in the soles 
of the feet, before the eolic,^^". — [3450.] Cramps in the feet, at times,***. — 
Soreness and tenderness of the soles of the feet, when first getting out of 
bed in the morning, so much so as to be unable to walk without first rub- 
bing them. The soreness disappeared in the course of the day, after taking 
exercise and getting warm,"^ — Dull, aching, heavy pains in her feet, which 
gradually extended to her legs and bowels,'*'. — Pains in feet, after a 
mustard footbath which removed the headache,'*^ — Pains in the soles of 
the feet,"^ — Excruciating tearing pain in the soles of the feet,™'. — Tear- 
ing, extending upward, in the right heel (after two hours and a half),*. — - 
Quite painful pricking and formication in the soles of the feet,''^^^ — Very 
painful pricking in the sole of the foot,'*'. — Toes. The toes are very 
strongly flexed upon the sole of the foot ; they can only be very slightly 
separated in the way of flexion ; their extension is impossible,'*'. — [3460.] 
The toes are excessively bent upon the soles of the feet, and can neither be 
separated nor approximated,'**. — The right great toe is strongly flexed 
upon the sole of the foot ; it is incapable of extension, or of being brought 
into a line with the other toes,'*^— Right great toe flexed up(m the sole of 
the foot,'*^ — The toes are strongly flexed on the sole of the foot, and can- 
not be extended ; that is, their extensor muscles are paralyzed, and their 
flexors, therefore, permanently contracted. Abduction and adduction of 
the toes are prevented by want of power in the interosseous muscles. All 

t From the weekly external use of aqua Goulardi, for a bruise on the trochanter 
major. 



102 PLUMBUM. 

other movements of the lower limbs are easily performed,'". — Swelling, 
now of one, now of another toe-joint, with the most violent pains and sleep- 
lessness ; these attacks were repeated and finally extended to the ankle- 
joints, heels, etc., and lasted for several months,*"". — In another patient, there 
arose, at the same time as the tendinous tumefaction, an articular swelling 
of the great toe, with redness, heat, and severe pain, giving it very much 
the appearance of an attack of gout,****.— Both great toe-joints are enlarged 
by tophaceous deposits,™. — Swelling of the great toe, with pain and red- 
ness,™. — Has had four attacks of gout ; the metatarso-phalangeal joint of 
the left great toe was first attacked ; this attack lasted for three weeks or 
a month ; subsequently, the corresponding joint of the right great toe was 
attacked ; some months later the left knee, and then the right knee, were 
similarly affected,^". — Cannot extend the toes, or flex the foot upon the 
leg,"'l — [3470.] Sensation of falling asleep, and crawling in the toes, of 
the left foot, extending into the instep (after two hours V- — Drawing in 
the left great toe, by the nail ; on walking, the sensation extended into the 
ball of the foot, disappearing on continuing to walk,*. — Painful drawing 
inward of the two larger toes of the right foot, followed by drawing in 
the hollovy of the right knee, afterwards also in the hollow of the left knee, 
where there was a sticking, while standing and sitting; afterwards the toes 
seem numb ; gradually disappearing while sitting, in the afternoon,*. — In- 
ten-ie pain in great toe, at night, which nothing relieves,^^. — Tearing in the 
two first toes of the left foot, disappearing on moving about (after three- 
quarters of an hour),*. — Crawling in the right great toe (after two hours 
and three-quarters),*. 

Generalities. — ■ Complete emaciation,^\ — Much emaciated, and 
looked ten years older than he really was,"". — The atrophy becomes gen- 
eral ; the patient resembles a walking skeleton,'"". — Atrophy,*". — [3480.] 
*Emaciation,''' ™ '™ ^'' ''^'\ etc. — She had been suffering for five or six years 
or more from various remarkable spasmodic attacks, and was reduced, by 
their constant recurrence, from a well-made handsome woman to a mere 
skeleton. Was frequently seized with violent tonic spasms in the arms, 
fingers, legs, abdomen, and chest, as if she had been taking strychnine,*''^ 
— ^He was wonderfully emaciated. If placed in an erect position, he fell 
Over in any direction if not supported, and he had not the slightest com- 
mand over the flexors or extensors of upper or lower extremities, especially 
the upper, which seemed to have ceased to act at all. The deltoids seemed 
entirely gone ; the head of the humerus could be traced in the glenoid 
cavity quite plainly; his ribs were covered only by skin ; in fact, he looked 
more like a dried skeleton than a living persou,^*^ — Gradually increasing 
weakness in her extremities, which she first noticed, she thinks, in her 
hands and arms. She lost all power over her limbs. She lies on her back 
perfectly helpless, and presenting literally the appearance of a skeleton. 
Every muscle in the body is wasted to a very unusual and remarkable 
extent. Those of the back share in the general atrophy, which, however, 
is perhaps most of all marked in the muscles of the hands and arms. The 
fingers are flexed, giving the characteristic "grifBn's-claw" appearance, 
the flexion being of the phalangeal and not the metacarpophalangeal 
joints. The interossei seem to have entirely disappeared, so that the finger 
and thumb of an observer can be made to meet between the metacarpal 
bones. The radius and ulna can be made out throughout their entire 
length as distinctly as though covered only by integument. The legs and 
feet are in a very similar condition. So wasted are the abdominal muscles 
that the spine can be distinctly felt throughout the lumbar region. At 



PLUMBUM. 103 

first there was great constipation of ttie bowels, sometimes no action taking 
place for a month. This was succeeded after some months by diarrhoea, 
and she often passed her motions involuntarily,""'. — Greatly emaciated and 
very weak,"". — On stripping the patient the clavicular and scapular promi- 
nences were very remarkable, the deltoid muscles had wellnigh disap- 
peared, whilst the supra- and infraspinati were atrophied to such a degree 
as to present cup-shaped depressions above and below the scapular ridges. 
The latissimus dorsi and pectoral muscles were soft and slightly atrophied. 
The biceps and triceps of both arms were wasted, those of the right arm 
more than those of the left. The extensors and flexors of both forearms 
were soft and atonic from disuse, but as regards their muscular volume they 
seemed intact, as also were the muscles of the thumbs and hands generally. 
The spinal, lumbar, and muscles of the lower extremities were sensibly 
atrophied, the left extremity generally more than the right, more particu- 
larly the left gluteals. The sensibility of the two extremities least atro- 
phied — viz., the right leg and left arm — was increased so that the patient 
was unable to bear the weakest current of electricity, whereas he could 
bear electricity strongly applied to the alternate leg and arm,^*°. — All the 
paralyzed parts are wasted and in.«ensible to all stimuli. Thus, blisters 
applied to the thighs and arms may be torn off violently without eliciting 
any sign of feeling,"*. — The general plumpness is in strong contrast with 
the wasted condition of the limbs,"". — Marked emaciation of the limbs and 
body,'°^ — The paralyzed parts are wasted ; their shrivelled dingy-yellow 
skin seems loosened from the flabby muscles. The adipose tissue seems to 
have dissolved ; the contour of the muscles has disappeared. The hands 
are blue and slightly infiltrated,"^ — Emaciation supervenes after fifteen 
days, a month, or whole years of exposure to the fumes, and only in cases 
where great quantities have been absorbed,"'. — -[3490.] He lost strength 
and flesh, notwithstanding a good appetite,"'. — Emaciated and weak,°*°. — 
The muscles lose their contour,'*". — General feebleness of the muscular 
system, the muscles throughout the body being soft and wasted,™. — Pale 
and emaciated,*'". — The muscles throughout the body are soft and flabby ,^°". 
— Muscles are soft and weak,'". — Muscles rather firm, not soft and plia- 
ble,'™. — Flabbiness and paleness of the muscles,^". — Flesh soft and wasted ; 
his countenance was more emaciated than the rest of his body, and showed 
profound despondency,'^". — [3500.] Pale and rather emaciated,^*'. — Ap- 
pearance meagre,*'^''. — Anaemic and cachectic appearance,""™. — She was 
ansemic, and in a condition analogous to that of a person suffering from 
paralysis agitans,'". — Profound ansemia,*" *" ''"' °*'. — Anaemic and very thin, 
with a sallow aspect,"^l — The whole surface is pale, anaemic-looking, and 
of a characteristic hue,*"'.— AnaBinia,"*****^'' *'"="* ^''. — General cachectic 
condition and hectic fever,*l — The patient presented a cachectic appear- 
ance, pale, anaemic, with a jaundiced tint,™. — [3510.] Cachectic condition 
after second attack of colic, which kept him from working for six months,'*"^ 
— The patient looked like one suffering in a high degree from anaemia and 
atrophy,"'. — Ictero-plumbie appearance,""- — Excessive anasarca,"*.— 
Swelling of the body," ^". — Face, feet, and legs have become cedematous,*"'^ 
— Mucous membranes pale,**" ^*'. — Mucous surfaces of a waxen hue,"''. — 
Mucous membranes lose their normal color,''^". — He was seized with symp- 
toms of asphyxia and died suddenly (after three weeks and four days), '^ — 
[3520.] Six cases of gout were observed out of one hundred and eighty- 
four,'''*. — Had had several attacks of gout,*'". — Gout is much more frequent 
in persons suffering from lead-poisoning than in others; this arthralgia of lead- 



104 PLUMBUM. 

poisoning is distinguished by the absence of redness and tumefaction ; a 
tumor that appears on the dorsal surface of the wrist, in some cases coinci- 
dent with the paralysis of the extensors, extends along the tendons, is not 
changed in color, consistence, or mobility ; it is caused by hypertrophy of 
the tendinous expansions, never commences in the articulations,^"". — Drop- 
sies,".^Diminished secretions and nutrition,". — The secretions generally 
are torpid,*''. — Consumption,'''.f — Gangrene,'^'. — Ganglion,". — Most perni- 
cious gangrenCj^lJ — [3530.] General scorbutic symptoms, with ulcers in 
the lungs,"^ — Complete absence of oedema throughout the whole case, though 
the urine was highly albuminous, and the patient suffered from uremic 
convulsions,"". — The number of blood-corpuscles is very largely diminished, 
in some cases to the number of 2,200,000 in a cubic millimeter of the blood ; 
but while the number is so much diminished, their size becomes greatly in- 
creased, being relatively to the size of healthy blood- corpuscles, as 9 to 7, true 
maerocythemia; this increase in the size of the red corpuscles is found not 
only in cases of acute but also of chronic poisoning,*". — Blood-corpuscles 
diminished from 1,800,000 to 1,500,000, and afterwards to 1,300,000,°".— 
The serum of the blood shows a slight yellow reflection, but with no shade 
of green,"'. — The blood, under the microscope, shows an abnormal number of 
white globules,^^^. — Nervous prostration not infrequently destroying life,*^ — 
Death of children within the first three years of their lives,*™. — Great mor- 
tality among children, especially during the first weeks of life,*°^ — Apo- 
plexy,". — [3540.] He seems as if attacked by apoplexy,™. — Death either 
by apoplexy or complete wasting with hectic fever,™. — Death either by 
apoplexy or syncope, with complete immobility and insensibility ,^*.§ — Since 
his sickness, complete suppression of normal perspiration ; walking diffi- 
cult, can only take a few steps, and soon gets tired ; disposed to sadness; 
loss of memory; much emaciation,"". — (In this case the symptoms of poi- 
soning were confined entirely to the parts most frequently brought in con- 
tact with the lead cement),"^ — Nutrition and all the secretions fail, and 
the skin becomes dry and discolored,™. — Electro-muscular contractility of 
the parts unimpaired,'"*. — No paralysis, ansesthesia, or hypereesthesia ou 
the left side,"". — No redness, swelling, or morbid heat of the affected parts,"*- 
— Neither palsy nor anjesthesia afl^ect the right side,'"'. — [3550.] No red- 
ness or swelling of the painful parts,™. — During the colicky paroxysms he 
lies flat on his belly, rolls about, presses his fists into the umbilicus, 
screams,'"". — Lies upon his back, apparently much prostrated,^". — Dorsal 
decubitus,'"*. — Lies on the back, with limbs relaxed and powerless,*^". — At 
intervals of about five or six minutes there was a short resting spell, when 
he became quiet, only groaning a little now and then,^^'. — Lies on his left 
side doubled up,"'. — Decubitus ou right side ; lower limbs strongly flexed 
upon the abdomen, and the head sunk between the shoulders, so that he 
seems doubled up and huddled together,'"". — Lies in bed, sometimes one 
way, sometimes another,™'. — "When quiet he would lie on either side, gen- 
erally on his left, with his thighs pressing against the abdomen,'^"". — [3560.] 
He lay upon a sofa, on his right side, having his legs flexed upon his thighs, 
and these, in a slight degree, upon his abdomen,'"". — One other character- 
istic spoken of by Tanquerel was well marked in this case. It was the 
approximation to recovery and diminution in force of the attacks, so as to 

t From the internal use of Acetate saturni. 

X From the external application of Extractum saturni to erysipelas. 

j From larsre closes. 



PLUMBUM. 105 

excite strong hopes of a speedy and complete restoration, and then a return 
of all the symptoms in their severity, followed by another amendment, 
what I should call getting up three feet and falling back two,"^.— After a 
few days he was taken with the characteristic symptoms of lead-poisoning, 
the diagnostic blue line on the gums included ; he continued to be affected 
with the disease, with remissions and relapses alternating, for a period of 
two months, after which the recovery was progressive, though slow,^*. — 
First taken with vomiting, colic, and all the symptoms of lead-poisoning ; 
since then has never been quite well ; has an aversion to food ; occasional 
slight colic and constipation. About four months after resuming work had 
a bad relapse ; besides colicky symptoms there was a general debility, 
tremor in the legs and arms, and some oedema about the ankles ; in a few 
days the hands were paralyzed,"^'*. — (Colic in 1850 ; second attack 1869 ; 
1871, third attack. Paralysis began ; lead-rheumatism set in at the same 
time with the debility. Since the latter period, sleep has been troubled 
with nightmare. Since 1871, seven other attacks of colic, each successive 
one more severe, and accompanied by pain along the limbs, severe head- 
ache, and arthralgia ; no delirium ; no paralysis. In November, 1874, he 
left oflP working in lead ; nevertheless, January 6th, without apparent cause, 
he was attacked by very severe colic),™. — For four or five days has 
had severe symptoms of lead-poisoning; pain in the hypogastrinm for two 
days; headache, restlessness, and even fully developed epileptic attacks for 
two days,™. — (First attacked when at Montevideo; very severe colic, last- 
ing fifteen days, accompanied by violent cerebral symptoms, so that he lay 
as if dead for some hours. Two months later another attack of colic, last- 
ing three or four days only, but which he had scarcely got over when 
gradual paralysis set in, which so disabled him that he had to be fed by 
hand. Two months later the symptoms returned, only there was less pa- 
ralysis than the first time),"^ — (His health remained good eight years, when 
he had a violent attack of colic, lasting about three months. Eight years 
later, weakness of the lower limbs ; walking diflBcult, especially in the dark ; 
from time to time, lancinating pains through the lower limbs; these grew 
much worse, and he could not clearly see a light),'"'". — (Has had eight 
attacks of colic. Present symptoms: Dull colic ; paralysis of extensors, of 
long standing; face much altered ; profound cachexia; skin deep yellow),™. 
— All the symptoms were aggravated at night, and particularly by lying in 
bed; they produced such a continual agitation and anxiety as to compel 
him frequently to rise and walk about the house ; in this mode he passed 
the nights, until the light of a new day saw him lie down on his couch worn 
out by fatigue and exhausted by suffering; these nightly walks always 
needed the aid of another person, and he retained when walking the same 
bent position as in repose,"*". — [3570.] Had his first attack of lead colic 
(quite a violent one) about twenty-two years ago. Had no further trouble 
of the sort until his second seizure in 1865. For some time previous to the 
latter date there had been a weakness of his upper extremities, to which, 
at the time of the second attack, there was added a trembling in them, that 
became in a few days very great. In a month, however, he left the hospital 
completely cured. Since then the tremor returned at varying intervals of 
time, but not very severely. It was worse in the morning, and he informs 
us that if he drank two or three glasses of brandy it would cease during the 
rest of the day. The affection had never been such as to prevent him from 
working. He had other symptoms of alcoholism, such as raising of phlegm 
in the morning, illusions of sense, etc. In the course of the last two months 



106 PLUMBUM. 

he had to spend several day ia sandpaperiug some old wainscots painted in 
white lead, the process raising a fine dust, which he inhaled largely. On 
July 25th he had another and very severe attack of colic, and the trembling 
returned at the same time with great violence. According to his custom 
he took some brandy to relieve this latter symptom, but did not succeed in 
removing it. Being now disabled from work, he entered "La Charitfe" 
August 3d. The tremor affects the whole body. The upper limbs are 
agitated by rapid and well-defined oscillations. He has some difiiculty in 
grasping objects, but electro-muscular contractility appears to be almost 
unimpaired. The lower extremities are similarly affected when he is stand- 
ing up. The gait is uncertain ; he staggers in his walk. The head also 
trembles perceptibly, the tongue quivers, yet there is no hesitation of speech. 
The dynamometer indicates a marked diminution of strength ; the com- 
pressive force of the right hand equals seven kilograms, that of the left 
four and a half kilograms, the pulling strength twenty-two kilograms,™. — 
The first symptoms which I can recall (I now speak of my first attack) 
are a peculiar uneasiness or moderate pain in the bowels, with a sort of 
feeling that there was or would be required some action of them, but no 
effect of the kind ordinarily followed, or could be induced by natural effort. 
Yet there was at that time no excessive constipation. This uneasiness, or 
these sensations, were not constant, but grew in frequency, the pain gradu- 
ally creeping round to the lumbar region, when it became fixed and con- 
stant; by degrees, however, diffusing itself over the system, particularly 
the lower limbs. I do not recollect any pains in my head. But by the 
middle or latter part of the summer of 1838 I became greatly debilitated, 
yet was without fever, the pulse not elevated. An uneasiness or pain in 
the lumbar region now caused me continual suflfering. I had a feeling of 
great misery ; could walk but a few steps without wanting to sit down ; 
and if I did so it was a great effort to rise again. I had a sense of constant 
lassitude or weariness, and an indisposition to motion. I was perplexed 
by the symptoms. The least fatigue, and all motion fatigued me, aggra- 
vated the suffering. I have now a very vivid recollection of going with 
two or three friends to pass a day at Nantasket Beach. We went out in 
a boat, and 1 well remember my sufferings as I lay listless in one end of it, 
trying by various changes to put myself in a posture of some ease, which 
I could not succeed in doing. I remember distinctly the question asked 
me by one of my companions : "Are you in pain?" I was scarcely able 
to get home. We rode in a carryall, and I remember the difficulty I had 
in supporting myself, holding as I could by different parts of the carriage. 
The bowels had now become wholly inactive, and it was, I think, two days, 
at least, before they could be moved, and then very imperfectly. During 
this time I was in a most restless state, day and night. There was no sharp 
pain, but a constant dull, gnawing pain, more particularly in the lumbar 
region and bowels, and a tired feeling in all the limbs. I was every mo- 
ment changing my position, seeking ease, but not for a moment finding it. I 
would get out of bed every little time and sit in a chair, or attempt to walk 
the room, but it was all the same. There was no relief to be had. After 
the bowels had been effectually stirred, I found myself in a degree relieved. 
I went through the next year very well, keeping up my system of outdoor 
exercise so far as my duties allowed. In the latter part of winter, or in 
early spring, I had an attack, mainly, in the left side, apparently in the 
intercostal muscles. From this I recovered in no long time, and went on 
till late in the spring of 1840. Then and in the early part of the summer 



PLUMBUM. 107 

I had a return of the old symptoms described as occurring in 1838 ; only 
with this difference, that the development of the disease was much more 
rapid. I went through the same process of active medicines, injections, 
etc., before the bowels could be stirred. I became more debilitated than 
before, the countenance assuming in a more marked degree the peculiar 
earthy yellow described by M. Tauquerel. Then came on the pure ar- 
thralgic pains. They seemed to be deep, as if in the very bone, and were 
seated more particularly in the flexor muscles, as the inside of the elbow- 
joints and the joints of the knees. Soon after, that is in July, there com- 
menced a trembling of the fingers, which soon passed iuto decided paralysis, 
the paralysis increasing for about three weeks. This paralysis was in the 
extensor muscles of the fingers, wrist, forearm, and arm of both the upper 
limbs; the lower limbs, with a slight exception, not being affected. My 
arms when left to themselves hung loose and dangling at my sides, as if 
turning on a pivot. Using only one at a time, I could elevate them only 
in a slight degree. I could not get my hand to my chin or mouth. But 
what puzzled me at that time was that there were certain motions which I 
could perform, for example, placing the palm of one. hand against the back 
of the other, I could get them to my face ; the flexor muscles of the hand, 
which were not paralyzed, being thus brought into action. So, too, I could 
draw on my boots almost as well as now, the same muscles acting. If my 
arms were elevated to a right angle with the body, the palm of the hand 
being turned downward, the whole hand fell at the wrist, hanging loose as 
a piece of cloth, and the will had no more power over it. I could not, 
without help, raise the hand in the least, not so much as one of my fingers, 
in the slightest degree. When I took a tumbler to drink, I clasped it with 
both hands fully spread, and could 'so get it to my lips. When I ate I 
rested my right arm, below the elbow, on the edge of the table, and grasp- 
ing the wrist with the left hand, and then bringing my mouth down to 
within three or four inches of the table, I could get the food to it. The 
backs of the hands became prominently arched ; the fingers, when left to 
themselves, became bent and half shut, the natural consequence I suppose 
of loss of power in the extensor muscles. The rotary motion of the arms was 
entirely lost, a fact to which my attention was directed, when they at- 
tempted to assist me to put on my coat. I tried all I could to exercise the 
poor lame muscles, but all fatigue, that is all use of them, seemed to be 
attended with injury. They had totally lost their contractile power. The 
abdominal muscles were similarly affected, though not in the same de- 
gree. If I had any it was only a slight power over them, which gave me 
great trouble when an action of the bowels was needed, though they could 
at this time be readily moved by medicine. All the time there was more 
or less of arthralgic pain, more particularly at this period in the inside of 
the knee-joints. The pain seemed to have no connection with the paralysis, 
and was greater in the parts not paralyzed than in those which were. The 
intercostal muscles on the left side were now affected ; for months I could 
not sneeze ; the moment the process began it was arrested by these muscles. 
The sensation was a very unpleasant one. I had no constant thirst, though 
I felt thirst at times, especially in the afternoon, or when unusually fatigued. 
I had little or no fever, though atone time a highly nervous pulse. I have 
spoken of the loss of the power of motion in certain muscles, or their loss 
of contractility. The sensibility of the muscles or nerves, with a slight 
exception, was not impaired, but the reverse. There was a soreness or pe- 
culiar tenderness in all my flesh. Sitting in a common wooden chair and 



108 PLUMBUM. 

leaning back, the parts of the chair seemed to penetrate to the very bones. 
The exception referred to was a small muscle in the inner part of the left 
thigh. There was a spot three or four inches in length, and two or three 
in breadth, which had lost its sensibility. There was at times a sensation of 
a peculiar and unpleasant kind at the bottom of my feet, a sort of burn- 
ing, which I used to relieve, when in bed, by drawing up the covering and 
pressing the soles of my feet firmly against the footboard, which produced 
a cool and agreeable sensation. I had also at times a violent pain in the 
back between the shoulders, rather nearer the right than the left shoulder, 
which I would relieve by getting on my bed and lying flat on my back, 
bringing as much pressure to bear on the part affected as I could. This 
method mitigated the pain before a long time. In a multitude of ways I 
was a great sufferer ; but the brain I did not think was affected, and I do 
not now think it was,^*^ — Tremor,^"* ^"^ ; in seventeen cases,*", etc. — Slight 
muscular tremors,^*''. — Considerable tremor suddenly came on (the colic 
having ceased under treatment), especially in the arms, which appeared to 
be almost equally affected. The trembling of the lower extremities was 
comparatively slight,'"". — Each successive attack of lead colic had been 
followed by a worse attack of tremor. During the intervals the tremor 
was not sufficient to impede movement, and was chiefly aggravated after 
great fatigue. It was also considerably increased by any mental excite- 
ment, whether pleasurable or otherwise, and in this case extended to the 
lower extremities,'". — Limbs and body almost incessantly jerked about,^"- 
— Tremor and partial delirium during two days,'^''. — The tremor is worse 
in the evening, when he is fatigued,™. — Slight tremor, with weakness of 
the left hand,''". — [3580.] Aggravation of the tremor by excessive drink- 
ing,™. — Repeated jerkings,^'' '"''. — Jerking movements of limbs and body,'^'- 
— General twitching and convulsions,™. — The muscles tremble, they are 
even affected by painful convulsions, or also become paralyzed, pale, and 
soft,". — Tremulousness, with commencing paralysis of the upper extremi- 
ties,'*'. — Constant jactitation,''". — Extreme agitation,'^". — Attacks of mus- 
cular agitation, accompanying the talking spells,™. — Violent involuntary 
movements of the muscles, becoming horrible convulsions,**- — [3590.] 
Spasmodic movements,*'— Apoplectic attack, with paralysis of the left 
arm,"*. — Attacks of apoplexy ,■"*. — Death by coma or apoplexy,"'. — On the 
7th of January he was suddenly attacked with epileptic fits. He had a 
succession of fit?, which lasted for thirty -six hours. He stated that he 
had no recollection of anything that had happened from the time of his 
admission into the hospital until the 12th of January; that he woke up 
with severe headache, occupying the entire head, with vertigo, and found 
that he had lost the power of moving the left leg and the right arm. There 
was a decided diminution of sensation in the affected limbs, and the right 
hand was in a permanent semiflexed condition, with very little power of 
opening or closing the fingers.'". — A sudden violent shock in the extremi- 
ties, so that he fell to the ground, with spasmodic flexion of the legs; so 
great the heels touched the nates ; on attempting to extend the legs he suf- 
fered the most violent painful cramps in the thighs and calves, at the same 
time the abdomen was retracted and so sensitive that the touch of even 
his shirt caused the most violent pains, with obstinate constipation ; this 
was followed after a week by a similar sudden shock in the arms, with 
spasmodic pain ; the hands were violently flexed and the fingers spread 
apart ; the pains lasted several weeks, and gradually disappeared ; during 
this period he was able to sleep only while lying on the back, with the 



PLUMBUM. 109 

right arm clamped between the legs ; after the spasm left the arm he 
noticed that he could not use the right arm as easily as before, and that the 
fingers hung down ; the next year the left hand became affected in a simi- 
lar manner ; all these attacks had been attributed to colds ; the skin of the 
arms became rough, dry, cracked,"'. — Attack of lead epilepsy, while in 
bed. One quick loud cry ; tetanic rigidity of the neck and limbs ; face 
pale ; entire loss of consciousness ; respiration ceases in a moment ; face 
blue ; congested spots on the forehead and face ; spasms of the facial mus- 
cles ; slight clonic convulsions (movements concentric) ; bloody whitish 
froth at the mouth ; this condition lasted three minutes. Paralysis of the 
limbs; coma, with stertorous breathing, lasting a quarter of an hour; 
aroused to half consciousness, but continued drowsy. Two other fits in 
the course of the day ; not so strong,^'". — His face turns deadly pale ; and 
without a cry he is seized with an epileptic fit, which lasted four minutes. 
The clonic convulsions were of so violent a nature, existing in the dia- 
phragm and muscles of the larynx as well, that for a moment death from 
asphyxia seemed inevitable,'*'. — Very violent epileptic attack at about 10 
A.M.; immediately became unconscious ; coDvulsions of the limbs ; tetanic 
stiffness of head and body; face livid and horribly distorted ; stertor; foam 
at the mouth ; spasm of the eyeballs ; this attack was succeeded by deep 
coma, during which he lay motionless in bed, with half closed eyes and 
open mouth. Sensibility and motor power are retained, though in a di- 
minished degree; some dull grunts at long intervals, and occasional auto- 
matic movements of the limbs are the sole evidences of animatiou,'^™. — 
A sudden violent epileptic attack, with total loss of consciousness, deathly 
paleness of the face, stertorous respiration, with prolonged inspiration, pulse 
112; for two minutes the arms and hands were forcibly extended and pro- 
nated, and affected with convulsive spasms,*™. — -[3600.] One-sided epilepti- 
form spasm, with convulsive twitchings of the face ; followed by a transient 
general epileptic attack, with stertor and complete loss of consciousness,™. 
— Epileptic convulsion ; the muscular contraction began in the abdomen, 
and extended upwards to the throat; the jaws were so violently brought 
into contact that a tooth was dislodged ; the eyes rolled upwards ; and lastly, 
the muscles of the limbs were affected. For an hour after the convulsion 
the patient lay perfectly motionless, and then became very restless and 
talked incoherently. In about nine or ten hours he had a second convul- 
sion, and after nearly an equal interval a third, and again a fourth. Each 
fit lasted for one minute ; they were all preceded by vomiting a dark- 
. colored matter, and followed by symptoms similar to those which succeeded 
the first fit,°''l — Frequently put the hands to the head, with convulsive 
movements of the eyes, hands, and feet,"".— Attack of fully developed epi- 
lepsy with biting of the tongue; it lasted a quarter of an hour, and was im- 
mediately succeeded by coma, which continued twenty minutes. On re- 
gaining consciousness he wanted to get up and walk about, work, take a 
drink, etc., then relapsed into coma, and so on alternately ; the delirium 
lasting three times longer than the coma; the delirium more generally oc- 
curs after than before the epileptic attack. Pupils so much dilated that 
the iris is hardly visible,'"'. — He was hardly in bed at the hospital before 
he told us he was about to have an attack, by the sensations of formication 
and pricking, which extended from the index and thumb of the right hand 
to the shoulder; at the same time the fingers becanie flexed into the palms, 
the thumbs being covered by them. The forearm was strongly flexed upon 
the arm, and held in forced pronation ; the wrist also was strongly flexed, 



110 PLUMBUM. 

and the whole limb agitated by clonic spasms. The right hand and forearm 
were red from stagnation of blood ; with his left hand he supported his right 
ferearm, which tended in its movements to approach the trunk. The head 
also shook, and was inclined to the left. There were slight spasms of the 
eyes. There was a slight circular movement of the lower jaw, but no froth- 
ing at the mouth, nor was the intellect in the slightest degree affected, al- 
though he was unable to utter a word; and he fully understood everything 
that was said within his hearing. The attack lasted about half a minute. 
After it was over he complained only of a little numbness of the right 
hand.™. — Four fits ; two at intervals of several days, and the other two on 
the same day,''". — A week before his admission into the hospital he had 
eight epile2}tie attacks, one after the other. Three days after admission he was 
seized with epileptic fits, which continued to recur frequently for two days, 
until death,*^". — Eight epileptic seizures, one after the other, on the eighth 
day before his admission to the asylum ; a few days after admission the 
fits returned very frequently,"". — ^Peculiar paralytic sensation extending 
from the back towards the hands and down to the feet, especially involving 
the left side of the body, which felt asleep; she was unable to move a 
limb ; this paralytic condition seemed to disappear with a shock, and was 
followed by a sudden spasmodic stretching of the left extremities, which 
seemed as if dead ; wherewith the fingers of the left hand were spasmodic- 
ally closed, with pronation of the wrist and gradual extension of the arm 
at the elbow, and extension of the left lower extremity from the knee to 
the ankle, lasting several minutes; this cramp returned at short.intervals; 
the patient cried aloud from pain, and, although consciousness was partly 
lost, yet she was able to make short, indistinct answers ; after about twelve 
hours these spasms affected other muscles ; whenever a spasm occurred the 
head suddenly and with a jerk was drawn to the left side, and at the same 
time bent forward, so that the chin rested upon the left clavicle ; during 
the next day the spasms occurred every quarter or half an hour, and 
the excessive paleness of the face of the first day changed to a bright red- 
ness ; on the third day the spasms began to affect the right side in a similar 
manner, and were associated with opisthotonos, so that the body was balanced 
upon the neck and heels; at the close .of the paroxysms, rattling in the 
trachea and oozing of tenacious, frothy mucus from the mouth ; at this 
time there began to be noticed, during the intervals between the spasms, a 
jerking of the facial muscles; pupils contracted, the sclerotic dirty yellow, 
lips bluish, gums retracted from the teeth, exhibiting a lead line, middle 
of the tongue covered with a yellowish-white coating,'*. — Epileptiform, con- 
vulsions ill the third, of which she died,'''^ — [3610.] Fit of epilepsy,^\ at 
5 A.M., of which he was unconscious,'^. — * Epileptic attacks, ^^'\ — Several had 
fits, described as being hysterical,"'. — Epileptiform spasms ; the patient fell 
to the ground unconscious, lips rigid, with spasmodic contractions, frothing 
from the mouth, eyes turned upward, pupils insensible, somewhat dilated,"'- 
— Epileptiform paroxysms, vixthirothmg from the mouth, convulsions of the 
arms,'". — During the fourth day of delirium, twelve epileptic fits, followed 
sometimes by delirium, sometimes by coma,"". — During the fifth day of de- 
lirium, movements of an epileptic character tooii the place of distinct fits 
of epilepsy, and in these convulsions he passed away,™. — During her last 
few days epileptic fits supervened, which by their violence and frequency, 
soon rendered her apparently quite insensible to what was passing around 
her,". — Epileptiform tivitchings in all parts of the body, followed byparaly- 
sis,*^ — Epileptic attacks, in which the tongue becomes excessively swollen. 



PLUMBUM. Ill 

protruded, and bitten,*".— [3620.] Epilepsy, '^,-\ '".J— Has had two attacks 
of epilepgy,™. — Suffering from epileptic fits, occurring about once in a fort- 
night, severe in character, and of three years' duration,"". — Ten epileptio 
seizures in about two years ; in which he fell down with a cry ; became 
very pale; there was at first stiffness; then followed contractions. The 
attack lasted about an hour, and was followed by great prostration. 
It was accompanied by involuntary urination,'". — The paroxysms occurred 
only every half hour,'^^°. — Small spasmodic shocks shoot like lightning over 
his face and limbs,''". — Spasms,^^'\ — -Violent spasms,'"^ — Tetanic spasms 
(after two hours),"*. — Spasms of particular muscles, and in two cases, of the 
■ whole body, with delirium,™. — [3630.] Epileptiform spasms,'". — A series of 
spasms and convulsions of various kinds, at first with free intervals, which, 
however, gradually became shorter and shorter, until the last twenty-four 
hours the spasms were almost uninterrupted ; on the fifth day the patient 
became comatose,'™. — Seized three times with what seemed like a tetanic 
spasm ; then came sharp prickings in the hands, the forearm, in the whole 
lower limb, and then the linibs were stiffened, the jaws were clenched con- 
vulsively,^*". — Clonic spasms of the muscles of the face and extremities, 
with loss of consciousness, frothing from the mouth, and pufiiness of the face 
(with albuminuria),*''^. — Violent clonic and tonic spasms, with both eyeballs 
rotated upward, repeated four or five times daily,*'^ — Suddenly seized with 
convulsions ; the upper and lower extremities were violently thrown into alter- 
nate flexion and extension; the body is forcibly and involuntarily shaken ; 
the head bends backward. All sensation is lost, but there is neither froth- 
ing at the mouth nor stertor ; the face is injected. The convulsions lasted 
about five minutes. When they cease, he lies quiet and motionless in pro- 
found coma, and cannot be stimulated into attention. After this has con- 
tinued for a quarter of an hour, convulsions again set in, but do not last as 
long as at first. Thirty-four convulsive seizures were counted within twenty- 
four hours; between them he was always comatose,"". — Convulsions, -pre- 
ceding which the patient cried out, turned very pale, then became very 
much flushed, immediately following which the body was seized with vio- 
lent clonic spasms, lasting an hour, and followed by great perspiration ; 
the attack was associated with involuntary discharge of urine,*"". — The 
latter part of September his brother reported that at school he had fallen, 
and according to his description was convulsed. It subsequently appeared 
that some days previous he had a similar attack while amongst his play- 
things in an attic room, when his brother noticed him lying on the floor 
and acting strangely, and asked, " What he did so for?" he replied, " He 
did not know." The evening of the day of the attack at school, the nurse 
called his parents, after h6 had been asleep, saying that he was breathing 
strangely. Nothing abnormal appeared when we arrived, but in the course 
of an hour I heard the heavy and laborious breathing, and found him in 
a convulsion, which continued not over a minute. The eyeballs were dis- 
torted, and the body and arms flexed spasmodically. These attacks num- 
bered seven or eight daily, and in the course of two or three days amounted 
to fifteen daily, which number daily continued until the middle or latter 
part of the following February, having, however, once numbered twenty- 
two to twenty-three in twenty-four hours ; but this was when the attacks 

t From large doses. 

X Prom the application of White lead to an excoriated place behind the ears, in 
a healthy man. 



112 PLUMBUM. 

were not the most protracted nor the most brief. The duration of each at- 
tack varied at different periods, from (I should judge from memory, not 
by the watch) one-third of a minute to one and a quarter or one and a 
half minutes. They did not vary much in duration and severity usually 
during a period of twenty-four hours, but did in a period of weeks. The 
heavy, laborious, almost stertorous breathing was our first admonition dur- 
ing the early attacks (when he was asleep) ; soon this ceased, and during 
the last month or two this symptom occurred only at the close of the con- 
vulsion, and was our first notice of its subsidence. Indeed, I remember 
failing to discover any sign of respiration during the greater part of an at- 
tack in some of the later weeks. Some other symptoms varied in a like 
manner, as to order, during the whole period. A small quantity of saliva 
ejected from the mouth terminated many of the attacks, perhaps one-fourth 
of them. The turning in of the thumb upon the palm was sometimes no- 
ticed, but was not always or uniformly the case, while I think strong flexion 
of the fingers was a usual accompaniment. The strong contraction of the 
muscles of the back and neck, at the termination of the convulsions, was 
noticed during the severe attacks, but did not accompany the lighter at- 
tacks. The attacks in the daytime were without premonition ; sometimes 
he th<>ught he had a slight dizziness a moment before, but was unable to 
notify us. To us the attacks seemed instantaneous ; as when as cheerful 
as usual (talking the moment before) he would fall to the floor from his 
seat ; once, when standing by the dinner-table chatting with his brother, 
he fell backwards, turning one-quarter around, the arms and neck contract- 
ing, otherwise at full length, striking his head against a sheet-iron stove,'"^ 
— Having never had nervous complaints or colic (except an attack of the 
so-called "Madrid colic"), was suddenly taken, while eating, with convul- 
sive movements of the limbs, soon followed by a general stiffness. No froth- 
ing at the mouth or stertor. He fell to the ground, but without loss of 
consciousness ; could not answer questions, but understood all that was said 
about him. This state lasted five minutes ; after which he could talk as 
sensibly as usual ; only complaining of great weakness. Next day another 
convulsive attack like the above,"". — Suddenly his head inclines forcibly 
to the right, his limbs stretch out, become stiftj and are strongly convulsed, 
as also is his face, which turns blue ; his eyes are wide open and rolled up- 
wards ; pupils exceedingly dilated ; violent shocks pass over the whole 
body ; bloody froth issues from the mouth ; the beats of heart and pulse 
are tumultuous and quite strong. Then the spasms of body and limbs sub- 
side, but the oppression increases considerably, and he is threatened with 
suffocation ; inspirations are deep-drawn and difficult. The previously dark- 
red face becomes pale as a corpse ; only the whites of the half-opened eyes 
are visible; the body becomes cold; the frothing at the mouth ceases; he 
remains motionless and sleeps a little while; pulse 140, and very small. 
He awakes in a few minutes, his eyes fixed and staring, and his whole 
couutenance looking very dull ; is ill-humored, and will hardly answer 
questions; finally, turns over to his leftside and falls asleep,'**. — [3640.] 
After working seven weeks, an attack of colic; five days later saturnine 
encephalopathy set in ; he fell down unconscious when in the act of wash- 
iug his hands ; then he had spasms; this attack lasted two hours. Four or 
five hours after, another attack like the first ; it only lasted an hour ; until this 
time his lead symptoms were confined to these two attacks, and a certain 
degree of muscular weakness in the upper extremity only. A few days 
afterwards he found that he could hardly use his upper limbs in eating ; when 



PLUMBUM. 113 

he tried to carry a glass, for instance, to his lips, his arm shook so much 
that he could not drinli ; the muscles were also very weak. Next day there 
was slight formication in the lower limbs ; walking was still almost natural. 
At the end of four days he walked with difficulty, and was obliged to lean 
against something so as not to fall down ; at the same time he had severe 
headache, with dimness of vision and hard hearing, especially on the 
left side. In proportion as the difficulty in walking increased, the in- 
voluntary movements of the upper limbs became less decided,*'^^ — When 
seized by a paroxysm, he lies down on the floor, rolls about in every 
direction, places himself in all sorts of attitudes, squeezes his feet, calves 
and knees with his hands ; groans aloud, calls for help, while his distorted 
face expresses the keenest agony ; entirely engrossed by his pain, he can 
scarcely answer when addressed. In from three to five raiiiutes, he gets 
more quiet, but is so completely exhausted he can hardly stand on his 
feet,"^ — Frightful convulsions, with cold clammy sweat,"'. — Most violent 
convulsions, with loss of all the senses, in recurring attacks,". — Frequent 
and frightful convuhiom and colic,'^ — Convulsions, with frothing from the 
mouth, as in epilepsy ,^*."i' — * Convulsions, ' *^ "*^ etc. — Convulsions of the 
whole body,'\ — Convulsions, lasting four hours,". — Convulsions, that con- 
stantly recur at shorter intervals (eighth, ninth, and tenth days),". — ■ 
[3650.] Convulsions, returning from time to time, followed by deep sighing, 
and on waking, pains in the limbs and in the epigastric region,'^. — Hypo- 
chondrium seemed distended and tympanitic; on moderate pressure gur- 
gling sounds in various parts of the abdomen ; pressure in the umbilical 
region seemed to cause pain ; retention of stool and suppression of urine ; 
even on the next day the left side was more affected by paroxysms than the 
right ; sometimes they assumed a tonic, at other times a clonic character ; 
on the sixth day, the muscles of the left side of the face only were affected ; 
there was not only opisthotonos, but also sometimes eraprosthotonos and 
pleurothotonos ; the tonic spasms always occurred suddenly, as with a 
shock, affected especially the muscles of the face, neck, trunk, and ex- 
tremities at the same time ; the head became drawn towards the left side 
and fixed as above described, the muscles of the shoulder and nape of the 
neck drew up the shoulder ; the left arm and left foot were so violently 
stretched out that the joints creaked; the muscles of the left half of the 
face were drawn down so that the lips were closed, and the left corner of 
the mouth drawn downward, and the left cartilage of the nose drawn to 
the left side ; the attack generally lasted about two minutes and suddenly 
ceased; the clonic spasms affected all the muscles of the face; they usually 
occurred after the close of the atonic spasms, sometimes, however, pre- 
ceded it, were characterized by trembling and twitching affecting the or- 
bicularis palpebrarum and corrugator superciliorum, and also the levator 
labii, and sup. alse nasi, the depressor alse nasi and levator of the upper 
lip, zygomata, and risorius muscles ; trismus I did not observe ; closure of 
the mouth was effected by the orbicularis oris ; at times also twitching of 
the platysma myoides,^■^^ — Four or five convulsive efforts daily, character- 
ized by spasms, during which the patient lost consciousness for half an 
hour or an hour, without frothing from the mouth,'^ — Every day or two 
he has an attack of spasmodic contraction of the flexor and adductor mus- 
cles; his legs are forcibly flexed on the thighs, and the thighs on the ab- 

t Immediately recurring after swallowing an ounce of extract Saturni Gou- 
lardi. 

VOL. VIII. — 8 



114 PLUMBUM. 

domen, aud sometimes one leg is drawn over the other; his arms are drawn 
so forcibly against his chest that it is impossible to raise them, and the 
forearms and wrists are forcibly flexed ; the muscles of the neck, par' 
ticularly the sterno-cleido-mastoid, draw the head clear down upon the 
thorax, "and greatly to one side, and occasionally the head is jerked from 
side to side; during these attacks he is perfectly conscious, but if he at- 
tempts to talk, he stutters and makes peculiar indistinct sounds, but can- 
not articulate ; he also makes a groaning sound, which he says is iuvoluu- 
tary ; during the attacks of spasm, he suffers intolerable pain, aud is left 
completely prostrated when they are over ; during his worst attacks, the 
pulse does not exceed 80 beats per minute, and generally it is about 65, 
full and steady. The rectus abdominis, upon each side, contracts so as to 
be promiuenfand hard almost as bone, and all the muscles attached to 
the ribs contract so forcibly as to draw them in, and produce such pressure 
upon them as to cause him to frequently cry out that they are breaking,*''. 
— Convulsive tremulous movements of the muscles,™. — Frequent spasmodic 
flexion of the arm and right leg, with automatic movements of the left 
baud to the head, shortly before death,'"*. — Convulsions, with loss of con- 
sciousness,™. — Ursemic convulsions, with distortions of the eyes and opis- 
thotonos and complete loss of consciousness, with a puffy face ; the spasms 
were repeated with increasing frequency, followed by slow respiration, 
sinking of the pulse to 36,"'. — Suddenly, while at work, without precur- 
sory symptoms, he was seized by violent convulsions, followed by profound 
coma,'^"". — One patient had convulsions and vertigo, several times,^*^ — 
[3660.] Every now and then, there canie on a genuine paroxysm, accom- 
panied by violent cramps in the legs and retraction of the testes toward 
the inguinal ring,*'^ — Drinking seemed to hasten the return of the parox- 
ysms ; hence, though very thirsty, he dared not drink often,^'^ — Slight 
convulsive seizures every five minutes, while in a state of the most profound 
coma. At last he succumbed, after a violent attack, which continued 
almost fifteen minutes,"'. — Sometimes a tendency to universal convulsions,''^. 
— Convulsive seizures, with loss of consciousness,^^'.^Fell without con- 
sciousness (after a quarter of an hour),^*'. — May determine in children^ 
convulsions, idiocy, imbecility, and epilepsy ,**^ — The limbs became quite 
rigid; jaws spasmodically closed; during these attacks, which lasted about 
ten minutes, the patient was unable to stand ; chilliness at the close of the 
attack,"*. — He fell to the ground unconscious,™. — Opisthotonos,*' "^ — 
[3670.] Rigidity and tetanus,'"'. — Two or three crises during the day, with 
prickings in the skin, aud contractions of the jaw and of the limbs ; violent 
supraorbital pain, twitching aud constriction in the temples (first day) ; 
the spasmodic cries more frequent, but less violent; tingling in the limbs 
(first night),^''^ — All movement, also standing, was impossible for about 
six minutes while the crisis lasted,™^ — Between the attacks he lay quiet ; 
his features much sunken and expressing great anxiety. The pain is dull 
and benumbing. The paroxysms returned at very irregular intervals,"'. — 
Between the paroxysms, he usually lay on his belly, with his eyes closed, 
and avoided the slightest raoveraent,"". — Between the attacks, he lay with 
closed eyes, silent and motionless, for fear of renewing the pain,™'. — Be- 
tween the paroxysms, still restless ; the pain, though less acute, was still 
overpowering,^". — During the intervals of quiet, which were of very irreg- 
ular occurrence, she lay tired out and almost motionless, with closed eyes, 
aud not daring to move or even answer questions, for fear of I'enewing the 
paroxysnis,"l — General paralysis,^" *' ™. — General paralysis and deficient 



PLUMBUM. 115 

nutrition, followed by death,*'. — [3680."| Complete paralysis of the mus- 
cles,^— Syncope,^^— Paralysis,^'^™"^'^'^— As the paralysis appeared the 
spasmodic pain in the abdomen disappeared (in many cases),". — Paralysis, 
commencing in slight numbness of the parts, and trembling, terminatiog 
in loss of motion and atrophy.^l — Motor and sensoiy paralysis affecting 
chiefly the whole right side of the body,*'^ — The paralysis equal on both 
sides,'". — Electro-muscular contractility much diminished on both sides,'"". 
—One-sided paralysis,^'. f— Paralysis of the whole left side of the body,"*. 
— [3690.] Some years later, he had a second attack of dextral hemiple- 
gia, which especially affected the upper part of the body,*™. — Motor and 
sensory paralysis, chiefly on the right side of the body,*'". — The paralysis 
is much worse on the left side ; the right wrist is hardly at all affected,'*". 
— Left-sided hemiplegia, with contraction of the left hand and distortion 
of the face, towards the right,'". — The paralysis is rather worse on the 
right side than the left,"". — Great difficulty in moving himself in bed ; so 
that he remains lying on his back; all other movements of limbs and 
body are as easy as usual,"'.— Lies on his back, some'times turned one way, 
sometimes another ; motion is freely performed, only the right extensor 
comm. digit, being paralyzed,''". — Muscular movements are difficult,*'. — 
Seriously ill for the last twelve months, and had never been well for more 
than five years. He was totally unable, from want of muscular power, 
either to walk, turn round in bed, dress, or feed himself; this had been his 
condition for several months ; he persisted in the idea that he was laboring 
under suppressed gout,*''. — Locomotor ataxy, especially when his eyes are 
shut, yet his muscular strength is undiminished ; his leg Cannot be bent 
upon the thigh,*''''. — [3700.] (Attacks of colic ; then suddenly motor and 
sensory paralysis of the upper part of the right half of the body, upper 
limb, and face. Epileptic seizures. Another attack of paralysis, limited 
like the first to the right upper limb and right half of the face, including 
the tongue. Four epileptic attacks. Face oedematous),*". — Paral3'sis ; 
the tongue and muscles on the right side being partially involved, and the, 
right arm and right leg completely,**". — Transient paralysis, with immo- 
bility of the arms and legs, inability to talk, and insensibility of the limbs,™ 
— Transient paralytic attack,^". — Paralysis, involving both sides ; more the 
right than the left, and not entirely limited to the upper extremities, though 
chiefly there found,***. — No local paralysis ; sensibility unim paired, ''". — 
Paralysis of the right side, with curvature of the spine,'''. — Very general 
paralysis ; he could not move either arms or legs, so that he was wholly 
unable to get out of bed,**". — The right side became more and more feeble ; 
mobility of the upper extremities very much diminished, associated with 
some atrophy of the muscles of the posterior portion of the upper arm, 
with very limited extension of the hand ; sensibility of the arm to touch 
and temperature also diminished ; of the lower extremities the right limb 
was very feeble, so that walking was very difficult; the right lower ex- 
tremity was affected with anaesthesia, like that of the right side of the 
trunk, right arm, and right side of the face, corresponding exactly to the 
median line of the body ; there was diminished sensibility of the right 
side of the tongue ; the reflex movements in the throat were almost 
entirely abolished ; the voice was nasal and speech very indistinct,*"". — No 
amount of effort produced the slightest moveraeiit in the large dorsal or 
pectoral muscles, or in those of the shoulders, arms, forearms, and hands ; 

f In a child who often walked over hot sheets of lead with bare feet. 



116 PLUMBUM. 

although after great and long-continued exertion, he succeeded by the ac- 
tion of the trapezius in raising his shoulders a little,"*. — [3710.] Even- 
tually all muscular power seemed to leave her, and she tumbled from the 
chair in which she was sitting to the floor. I noticed that there seemed to 
be not so much a loss of muscular power as proper co-ordination; and, 
although if shaken and spoken to loudly, she would answer questions in- 
telligently, immediately afterwards she lapsed back into stupor,""'. — First 
attack of lead colic, six years ago, severe. Eight or ten days thereafter, 
paralysis of the hands ; could not lift them. This had been preceded by 
slight cramps in the fingers, which came on before the colic and lasted about 
fifteen days. Wandering pain throughout the body generally, now here, 
now there. Second attack four years ago ; suddenly taken with colic and 
cramps ; paralysis of the extensors remained. Third attack three years 
ago ; increased paralysis, which remained. Fourth attack, one year ago ; 
paralysis unchanged. Fifth attack, fifteen days ago ; very severe colic ; 
increase of paralysis,"^^ — A certain degree of hemiplegia on the left side,'*^. 
— Painful stiffness on movement,"". — The right side is weaker than the 
leit,°-". — He began painting at the age of sixteen years, and left it oif to 
enter the army at the age of twenty-one, without having felt the slightest 
symptom of lead-poisoning. While still in the latter service, at the age 
of twenty-three or twenty-four, he suddenly felt, during a violent fit of 
sneezing, a cracking in the right side of the head ; and immediately after 
was taken with formication and numbness in the whole right side of the 
body, together with weakness of these parts. All these complaints gradu- 
ally got better, and when his term of service was ended, they had entirely 
disappeared,'™. — Lead palsy begins with a simple numbness or slight tremor, 
and ends with a complete loss of the power of movement. The degree of 
this loss bears no proportion to the extent of the paralysis. Saturnine 
tremor is rather a slight agitation, than a visible contraction and expan- 
sion of the muscles. It is never accompanied by that perceptible and 
almost spasmodic action which characterizes mercurial tremor. This affec- 
tion really constitutes the first stage of lead palsy ; it is connected with a 
marked weakness of muscular contraction. When the parts affected by 
tremor are put in motion, their muscles seem to hesitate or oscillate in their 
contractions, which are short-lasting, and doubtfully performed. Moreover 
there is always complaint of weakness in the parts affected by tremor, even 
when there is no fully developed paralysis. Upon saturnine tremor, when 
it has lasted some time, there almost always supervenes a complete paral- 
ysis of one or more muscles of the affected -parts. The tremor is almost 
always restricted to a part or the whole of one limb, rarely affecting two 
at once; but it may involve both the upper and lower extremities, the 
lips, tongue, or vocal apparatus,'". — The paralysis, though incomplete, is 
widespread, and the external muscles are wasted and very soft ; those of 
the upper extremities are most affected,'*''^ — About a month before he was 
seized with colic, followed by palsy of the forearm extensors, and of the 
lower extremities, and when first seen he had the characters of general 
paralysis of the insane. He could not lift the feet from the ground. Then 
followed bilateral facial spasms, trismus, frequent spasmodic jerkings of the 
upper limbs, the flexors of which were firm and rigid, while the lower 
limbs were rigidly extended,™.— A condition of increasing chloro-anremia, 
with nervous erethism,'".— [3720.] "^ General de6i%,-" '"' ™ "» "»l— Such 
debility that he could hardly stand up,*".— Debility extraordinary, with 
constant fainting spells; she could not rise up without swooning,*".— 



PLUMBUM. 117 

Debility almost immediately,™'. — General debility, preventing him from 
standing up,*'*. — General debility, and painful lassitude,*". — General de- 
bility, and special weakness of the lower limbs,"'. — Obliged to lie on the 
bed the greater part of the day on account of excessive debility,*'''. — * Great 
debility,"^ ''\ — Increasing debility and loss of flesh,^™. — [3730.] Increasing 
debility.^'. — The emaciation is accompanied by more or less debility,'". — 
After any excess, the debility is increased, and the paralyzed limbs are 
even affected by a slight tremor,'™. — He feels that he is debilitated. Can 
hardly lift a chair with his right hand. The left hand is much less affected. 
Frequently a feeling in the fingers, especially those of the right hand, of 
numbness and formication, lasting a few moments, and followed by a rather 
painful pricking sensation,^'". — General feebleness, with trembling of the 
limbs,*"'. — Very feeble,™. — All bodily movements are slow, difficult, and 
somewhat painful,"^ — Moves only when necessary, and very slowly,™'. — 
Great prostration at twilight; he lies down, feels the beating of the pulse, 
becomes hot in the face, that burns in several spots, without sweat and 
thirst ; with trembling of the hands and vertigo, as if the couch moved, 
renewed by thinking of it, with sensitiveness to noise ; he at last falls 
asleep and wakes after three hours with a weary prostration, that disap- 
pears after moving about ; there, however, remains dulness in the head 
and a bruised feeling in the small of the back,''. — ^General prostration, with 
great weakness of the extremities,''^ — [3740.] Extreme exhaustion,'"'.t — 
*General prostratioii,^" *«" *™ *'» *" ''\—* Great prostration,'" ''"' ™ '"■ ''' '''.— 
In the more aggravated cases, great prostration and collapse,'". — Appears 
prostrated, profoundly anseraic,^". — Prostration ; he lies down, feels a beat- 
ing in the neck and abdomen, and can sleep but little (first day),'. — On 
rising in the morning, often (not always) completely enervated, with neither 
energy, strength, nor courage,™. — The prostration, weakness, sleepiness, 
pains that follow, in direct contrast to the general feeling of health noticed 
the first day, seem to be extraordinarily agreeable ; during the primary 
action it was cold and wet, during the secondary actiou it was the finest 
spring weather,'. — If he puts himself out in any way he shakes violently, 
" like a leaf on a tree," and his gait becomes unsteady and jerky ,'^'''. — 
Collapse and syncope, almost immediately ,'''. — -[3750.] Weakness and 
trembling,*^ — Unusually weak and relaxed after motion,'. — Easily became 
fatigued, on walking (fifth day),^ — Weakness and loss of sen.sation after 
the convulsions, with weak and slow pulse,*'.— She could not sit up in bed or 
extend her arm fully,'". — Sense of great weakness and depression,*". — Con- 
tinually complained of excessive weariness ; all exercise was fatiguing,"'. 
— Gradual loss of strength,^'". — But little strength, and is barely able to 
sit in a chair or walk across the room,*™. — Weakness and loss of power 
with loss of sensation,". — [3760.] Feels very weary and indolent,*' '"'. — 
Considerable weakness (of the affected parts) ; according to Duchenne's 
dynamometer, the compressive force of the right hand is equal to 6 kilogr. ; 
that of the left hand to 8 kilogr. ; pulling force, 43| kilogr.,"'^ — Such 
weakness of the muscular system generally as almost precluded the patient 
from walking, or even standing for any length of time,"'. — Weakness, 
fatigue (second day),'^'. — Slight diminution of compressive and pulling 
strength, as estimated by the dynamometer,'". — All his movements are 
slow and feeble,'". — Malaise,*". — Languor,'". — Languor so complete as to 
unfit them for any exertioB,**^ — Great languor and lassitude,"". — [3770.] 

f From the internal use of sugar of lead. 



118 PLUMBUM. 

General languor,'".— Lassitude, ^«' "' «' ^'•l— Painful lassitude,*".— General 
painful lassitude,"'. — Faintness,'^ ^If — Frequent fainting.s,"". — Frequently 
seized with a sensation of faintness and prsecordial uneasiness, as of im- 
pending dissolution,''^— Faintness,^^' "' "' ''' »'*.— Attacks of faintness, fre- 
quently lasting an hour,™. — Occasional fits of restlessness,^"^- — [3780.] 
Generally resUessj'^\ — Exceeding restlessness for the last two nights,". — 
Extreme restlessness,'^"". — Incessant tossing about the bed, without being 
able to find rest,™. — Turns himself about in bed,™.- — Nervous restlessness,''". 
— Uneasiness,''". — Constantly tossing about,™. — Although the pains are 
aggravated by motion, he is constantly seeking relief by changing his posi- 
tion,"l — During the paroxysms, he is restless, bends double, lies upon his 
abdomen, screams, etc.,^". — [3790.] Extreme restlessness,™. — Restless; roll 
ing himself up in the bedclothes ; lying on his belly, etc. (during the par- 
ox3'sms). . Pain a mere constriction, but increased by pressure (between 
the paroxysms),™. — During the remissions, which occurred only at long 
intervals, he had very little repose, but was not so extravagant in his 
manifestations,'". — Constant change of position ; he doubles himself up, 
but avoids lying on the abdomen, and any pressure on the latter some- 
what aggravates,''^ — Sometimes with his head almost on the floor, his feet 
tangled in the bedclothes, and his hands grasping the rails, he kept up a 
sort of rocking movement,™. — During the paroxysms, he kept turning 
himself in bed, but with difficulty, on account of his great corpulence. He 
often tried lying on his belly, but could not remain long in that position, 
as it suffocated him ; he threw his limbs about and cried out at times,'™. — 
The slightest touch of the skin over the umbilicus, and indeed over other 
parts of the body, produced such terrific pain as almost to throw him into 
convulsions, producing all the effects of an electric shock,'". — Hyperses- 
thesia of the skin,*'" "^ — Excessive hypersesthesia of the cutaneous nerves, 
at times so great that it was impossible to lightly touch the surface of the 
body without the most violent pain, accompanied by crying and weeping, 
but deep pressure relieved the pain ; the sensitiveness was not constant nor 
general, but affected sometimes one part, sometimes another, and sometimes 
disappeared entirely and returned without apparent cause; it seemed espe- 
cially violent over the bony processes, as for example, on the spinous pro- 
cesses of the dorsal vertebr£e,''^ — The surface of the body was affected 
with an excessive hypersesthesia, so much so that it was often impossible to 
touch even slightly the skin of the chest, abdomen, back, face, and supe- 
rior or inferior extremities, withont forcing tears or cries from the sufferers. 
This hypersesthesia was only superficial, and was much more excited by a 
slight touch than by hard pressure ; thus, if instead of touching the abdo- 
men with the end of my little finger, I applied firmly my open hands, far 
from increasing the pain, it lessened it. This increased sensibility of the 
cutaneous system was neither constant nor general ; it was excited sometimes 
in one part of the body, sometimes in another; at times it would become less, 
and now and then entirely disappeared, to reappear soon after without any 
ascertainable cause, "'I — [3800.] Paralyzed parts very sensitive tocold,'^'. — 
He immediately feels the slightest prick anywhere on the left side,"^ — 
Entire loss of cutaneous sensibility in the hypogastrium and iliac regions ; 
also in the penis, scrotum, and upper two-thirds of the thighs. Pressure 
on the hypogastric region causes pain, which is not the case with the other 
insensible parts. The skin of the affected parts is insensible to pricking 

f Effects of large dose.s. 



PLUMBUM. 119 

pinching, etc., but pain is felt when a pin is thrust deeply in, or the mus- 
cles are pinched,"'^ — Complete analgesia over the entire surface. Sensi- 
tiveness when tickled, which is normally very acute, is considerably di- 
minished, but not abolished. It is diminished in the palms of the hands, 
especially of the left. In the soles of the feet he scarcely feels any amount 
of tickling; although, before working in white lead, he was so sensitive to 
it, that it would make him jump immediately,*". — Complete antesthesia of 
the right arm, for both contact and temperature ; this anaesthesia extended 
over the right side of the face and right lower extremity ,'"^ — Diminished 
sensibility over the whole body,"*. — AnEBsthesia,'"'. — The entire surface of 
the body was deprived of sensibility ,*"". — Loss of sensation and motion,"- 
— Insensibility to burning of the whole right side. But a small blister, 
applied over the middle of the forepart of the insensible right thigh, gave 
rise to pain in that spot,"". — [3810.] Out of one hundred and two cases of 
motor-paralysis, ansesthesia of the affected parts was observed in five cases, 
and arthralgia in eight. In three cases out of the five, the paralytic anaes- 
thesia seemed to involve the deepest tissues of the limbs ; the muscles, as 
well as the skin, appearing insensible to all stimuli. In the two remain- 
ing cases, the loss uf sensibility was confined to the skin, the patients com- 
plaining of violent pain deep within the limbs. Thus, paralysis may be 
accompanied at the same time by both anaesthesia and hyperaesthesia. 
When only hyperaesthesia coexists with motor paralysis, the pain is re- 
ferred to the skin, the muscles, or even the bones,"'. — Complete absence of 
pain when pricked, in the right side (right limbs, and right half of the 
face and trunk). Quite a deep prick with a pin causes only a feeling as 
of a heavy touch,*™. — Loss of sensibility to tickling in the whole right side 
of the body,*™. — The affected members are in an almost complete state of 
ansesthesia,™^ — Insensibility to pricking in the right hand, lower half of 
right forearm, and right cheek ; diminished sensibility to pricking in all 
the rest of the right half of the body, and lower half of left forearm. Loss 
of sensibility to burning in the right hand only; burning is only felt as a 
warmth,*". — Insensibility to pricking, of the right upper limb (excepting 
the shoulder), and of the right foot, right leg, and lower third of right 
thigh. Diminished sensibility to pricking, of the right side of the face, 
right shoulder, and upper two-thirds of the right thigh ; also of the left 
upper limb. The transition from entire to partial insensibility takes place 
abruptly, and along the line of junction of the lower third with the upper 
two-thirds of the right thigh, corresponding exactly with the lower border 
of the patient's shirt,*™. — Sensibility to temperature notably diminished in 
the right side, especially in the right upper extremity,*™. — No perception of 
temperature anywhere on the right side; the right foot, when resting uncov- 
ered on the ground, does not feel cold, as the left foot does, under the same 
circumstances,''"^ — Sensibility to temperature is less on the right forearm, 
and also on the left side of the face, which is the one most affected with anass- 
thesia,*". — Diminished sensibility to temperature in the whole right side,**'- 
^[3820. J Little sensibility to temperature in the whole right side, face, 
forearm, and lower limb,*". — Sensibility to pricking generally lessened, 
but nowhere completely abolished,'™. — Sensitiveness to pricking, pinching, 
and burning, on right hand and dorsal surface of right forearm, on the 
right cheek, back of left hand, and palmar surface of left fingers,*'". — Less 
sensitive to tickling on the right side,*". — Diminished sensibility of the 
hands, especially their dorsal surfaces, and of the left hand. In the fore- 
arms, the insensibility is greater on the palmar surface, and especially in 



120 PLUMBUM. 

the left forearm. Above the elbow the tactile sensibility is much less 
aifected. On the left fingers and forearm, the pressure of the upper point 
only of the sesthesiometer is perceived. Anterior surface of left arm, 100 mra. 
Tactile sensibility of lower limbs unimpaired. Insensibility to pricking of 
the right thumb, the palm or surface of the right fingers, and the right 
palm of the palmar surface of the left fingers, and of the palm and back of 
the left hand. Diminished sensitiveness to pricking on the dorsal surface 
of the fingers of both hands, especially the left, also on both forearms; 
from thence it gradually diminishes towards the shoulders. Slightly di- 
minished sensitiveness to pricking over the rest of the body. Immediate 
analgesia (or an algesia, properly so called), when burned, together with 
consecutive analgesia, or anodynia of the hands. Burning is only felt as 
a warmth, and causes no pain afterwards, though it has raised a blister. 
Diminished sensitiveness to burning on the forearms. General absence of 
sensibility when tickled. The upper limbs are insensible to changes of 
temperature,"'. — Very considerable loss of sensibility in right hand and 
right forearm, as far as two fingers' breadth below the bend of the elbow 
(as far as he plunged his arm into the liquid white lead). Less want 
of sensibility in the remainder of the right upper arm and in the right 
half of the face. He did not feel both points of the £esthesiometer until 
they were applied to the upper arm. Not much loss of sensibility in the 
right upper arm ; and it became less and less along the forearm towards 
the bend of the elbow,*". — Diminished sensibility in the arms, shoulders, 
and lower limbs, so that they feel only one point of the sesthesiometer; 
less diminished in the rest of the body, but more in the right than left 
side,*"*'. — Notable diminution of the sensibility to temperature all over 
the body,*". — Diminished sensibility to temperature on the whole right 
side, especially the back of the right hand and forearm, and on the right 
leg; also in the sternal region,™. — Electric irritability of the right side 
very much diminished,™. — [3830.] Sensibility to touch slightly dimin- 
ished,"^'. — Sensibility more impaired on the right side of the body, gener- 
ally, thau on the left,^'^°. — Diminished sensibility to pain in the shoulders 
and arms, but especially in the lower limbs and faee,**^. — Tactile sensibility 
is diminished in the whole right side of the body, and especially in the 
upper limb, where, when two points are applied to the surface at some 
distance apart, he feels only one of them,"^ — Diminished sensibility to 
pricking and burning, amounting almost to analgesia, on the right hand 
and forearm ; less on the palmar surface of the right wrist and forearm, 
and the right arm. Slightly diminished sensibility to the same, on the left 
hand, and dorsal surface of the left wrist and forearm. Diminished sensi- 
bility to painful impressions on the right side of the trunk and on the 
front of the chest, corresponding to the part of the shirt worn during 
work,**'. — Diminished tactile sensibility of the upper limbs, especially the 
right, of the right side of the face, and of the right lower limb. It is more 
marked on the dorsal than on the palmar surface of the forearms,*®'. — 
Uiminished sensibility on the whole right side of the body"' *™ *'". — Insensi- 
bility of several scattered portions of the body.'''^ — Occasional impairment 
of the senses,™.- — Slight analgesia of the right half of the body, especially 
the forearm and hand. The right cornea can be touched without causing 
pain. The left cornea has very little sensibility,*". — [3840.] Tickling also 
is much less felt on the right side,*™. — Perversion of sensibility; pricking 
imparts a sensation of rubbing; pinching, a sensation as if touched,"". — 
Feeling of numbness in the insensible parts,™. — Feeling of faintness, re- 



PLUMBUM. 121 

lieved by food ; often felt very faint, in morning,''^ — Has been suffering 
from occasional sensations of faintness, on ascending stairs, or taking any 
undue exertion,'*". — Between the paroxysms, he bad a feeling of burning 
and compressiou,'™. — Sensation as if she were seated in cold water as far 
as the abdomen, immediately followed by heat of the abdomen, frequently 
(after two hours and a half),*. — Feeling as if li()uid ice ran through his 
veins,™. — Feeling as if his bones were being gnawed,"*. — Soreness of the 
muscles generally,™. — [3850.] Walking, or even standing still, brings on 
the cramps, which are characterized by a forcible and permanent contrac- 
tion of all the affected parts, perceptible to both sight and touch ; these 
cramps are exceedingly painful ; they are somewhat diminished by pres- 
sure, and increased by motion of the limb, which motion they restrict ; so 
that when they come on he has to go to bed, or lean against something. 
When lying down, he can move his limbs freely, excepting when the cramp 
comes on. The lancinations and cramps are more acute behind the knee- 
joint than anywhere else. Cold water compresses afford temporary relief 
Not a wink of sleep, either by day or night,"". — Crampy paroxysms every 
quarter of an hour, with severe pain, and a feeling of icy coldness, which 
passes like lightning from the groin to the leg, without involving the pos- 
terior portion of the thigh. If, when these attacks come on, he is standing 
leaning on a cane, he falls to the ground. This pain, though so deeply 
seated that he thinks it is in the bones, seems to be diminished by strong 
pressure. Between the paroxysms, there is a feeling of constriction in the 
limb,'"'. — In the more aggravated cases, universal cramps and numbness'^"'. 
— Frequent painful cramps in the paralyzed muscles,^*. — The tingling, the 
cramps return still every few minutes, but at longer intervals, and they 
are, moreover, less severe (third day),'. — Slight cramps at long inter- 
vals,"'. — After a time he became troubled, more and more, with neuralgic 
pains in all parts of the body, sometimes so severe as to be almost un- 
endurable,*™. — The colic and neuralgic pains iu the thighs, arms, and 
thorax, had become so severe that he was unable to sleep much at night, 
groaning and twisting himself continually,^'". — Arthrajgic and neuralgic 
pains about the trunk' and extremities,^'"'.— Arthralgia.^*" '"" ^"^ ^*'.— [3860.] 
Chronic myalgia,^"^. — Severe paroxysms of pain,"'". — Pain comes in parox- 
ysms,""'. — Intervals of comparative ease are followed by such intense parox- 
ysms of pain that the patient loses all self-control; shrieks violently, and 
cries like a child,"^ — Crawling pains by paroxysms, internally, in the 
bones, recurring from time to time, very violent, especially in the left thigh, 
above the knee, and in the left forearm ; in the left thumb, dull and fre- 
quent,'. — The pains intermit for a longer or shorter time, and return in 
intermittent paroxysms,^'- — Subject to rheumatic pains (muscular) for 
some years,*^". — Almost constant, dull, bruised pains, or, at times, pricking 
and formication, followed by numbness, in the paralyzed parts; they are 
also very sensitive to cold, which aggravates the pain,"°. — Compared the 
pain to a feeling of boring, as with an auger,"'. — Bruising, and sometimes 
gnawing pains, in the affected parts,"'. — [3870.] Dull fugitive pains,*'. — 
* Wandering pains,^'^. — Exceedingly acute lacerating pains all through 
the limbs, loins, back, and walls of the chest ; they are worse at intervals, 
both during and between the paroxysms of colic, and give rise to extreme 
agitation ; they are slightly diminished by pressure, and sensibly increased 
by movement, so that he tries to keep as quiet as possible ; but during the 
paroxysms, not knowing what to do to ease himself, he assumes all sorts 
of positions. These pains, which are unaccompanied by swelling or red- 



122 PLUMBUM. 

ness, are worse in the lower limbs, and especially the knees, in the forepart 
of the thigh, and in the soles of the feet. They are felt all through the 
limbs. There are no cramps, and motion is unimpaired, "^ — The pain in 
the paralyzed parts is sometimes lancinating, sometimes contusive; it is 
increased by motion and pressure,'". — Severe lancinating superficial pains 
in several parts of the body, such as in the scalp and the thoracic parietes,^^. 
— Violent pains, convulsions, delirium, and copious stool, at night,^^ — 
Violent pain,*" '^ *'". — Great pain in lower part of body,''^^ — ^Severe shoot- 
ing pains through the feorfj/,"'-— [3880,] From the balls of both thumbs, 
which were much atrophied, excruciating pains would arise, shooting with 
great severity up his arms and shoulders, to the back of his neck and 
head,"'. — The pain in the head, thorax, inside of the arms and thighs, was, 
at times, so intense as to produce furious delirium,™. — Feels pain in the 
bones,'". — * Pains all over ; sometimes the^j appeared in one place, and some- 
times in another ; but when she moved, she complained of its hurting her 
everywhere,^°l — *Paiii in trunk and limbs,*'''. — Pain presents very various 
characters in the same case, at various moments, rapidly changing,'"". — 
Pains throughout the body for the last seven years,'". — Pains in the mus- 
cles and joints, especially of the right side,"^ — The power of movement is 
retained, but its free exercise is prevented by pain, which, during the par- 
oxysms, is so great that, at times, he is unable to stand up,"'. — Pain in left 
side (after one year),™'. — [3890.] Pains over the body generally,^*'. — Pains 
were not severe, but constant, and aggravated from time to time, so as to 
cause the patient to cry out (after three weeks),'*. — Pains not increased by 
pressure or motion,''"'. — He tried every position in order to relieve the 
pains without obstructing respiration ; sat up, left his' bed, walked about, 
etc.,''"'. — The only time he is free from pain, is when he can be perfectly 
still in bed,*". — Drinking aggravated her symptoms,*''^ — Pains worst dur- 
ing the night,™. — Pressure relieves the pain, and cold increases it,"". — 
During the paroxysms, pressure gave some relief; between them, it rather 
aggravated the pain,'"'. — The pain is constant; is aggravated by the least 
degree of coldness, by forced movements, and by pressure,"^ — [3900.] 
Friction and strong pressure give a little temporary relief,"''. — Some ap- 
parent relief by drinking,™. — Pressure relieved somewhat,*". — Drinking 
has no effect on the pains or vomiting,™. — No pains at night,*. — All symp- 
toms disappear at night.*. 

SJt'in, — The skin of the face shines as if oily, and feels oily,'. — Skin 
flabby,'"'. — The skin of the face was changed in texture and appearance,***. 
— Face and most of the body and limbs so thickly covered with white-lead 
deposit that the color of the skin could not be perceived,*'". — [3910.] Nearly 
the whole skin became infiltrated with serum,*'". — Serous infiltration of the 
whole skin,*". — Skin feels dry,^\ — The skin is dry and sallow ; it is traversed 
by larger veins,*"*.— S/ttn dry, cool,^' '"'.—Dry skin,*" *" *"« *'« *"' *'*.— The skin 
of natural temperature, a little dry,*"*. — Secretion of skin in most cases 
checked,*'". — A peculiar discoloration of the solids and fluids of the body ; 
lead jaundice,™. — The whole surface of the body is discolored,*'. — [3920.] 
Bluish color of the body,*'. — The hue of his skin generally was of a dusky 
cerulean character,'*". — Bluish color of the limbs,'*. — Redness of the lower 
extremities,"". — Frightful jaundice, and excessive induration of the intes- 
tines,".f — Obstinate jaundice,^ — Very decided general jaundice,'*'. — Severe 
attack of icterus, of a week's duration,"". — The body, the face, and especi- 

t Prom the internal use of the Sugar of lead. 



PLUMBUM. 123 

ally the conjuuctivse, have a decidedly jaundiced tinge,"". — Jaundice over 
the whole body/^— [3930.] Jaundice^' *' '' '" ="'1— Skin all over the body 
of a peculiar dead waxy hue, known among workmen as lead skin,^'^— 
Whole surface of body had a considerable _/aMndiee tint,". — Skin pale, with 
a somewhat jaundiced hue,*'^ — Skin and adnata of the eyes tinyjed with 
bile,™. — * Yellowish color of the skin and of the ivhite of the eye". — Yellow or 
leaden color of the body.^'.f — Skin of a yellowish hue, not like jaundice, but 
like that which obtains among workers in red or white lead,"^". — Yellow 
skin,™™. — ^kiu had a yellowish tint,*^'. — [3940.] General surface rather 
yellow,^''.— Skin of a faint yellow hue,*"'. — Skin sallow and clammy ,^'l— 
Skin had a sallow dingy appearance,'^** ^'^ — Slight livid yellowness of the 
whole skin, especially of the face,™. — The skin, when most affected, is of a 
dirty-yellow or earthy color; when less so, of a pale-yellow or light-ashen 
hue. The discoloration is most marked on the face, though it is spread 
uniformly, but less deeply, over the body and limbs,"'. — Dirty-yellow color 
of the skin, with yellow discoloration of the albuginea oculi, simulating 
jaundice,"\ — Dirty-yellowish color of skin and eye,™'. — Dirty earthy-yellow 
tint of the skin, at first of a pale-yellow hue (occurring in workmen exposed 
to the emanations of lead),™^ — Skin assumed a yellowish-dingy aspect,^"'. 
— [3950.] Skin dingy yellow, flabby, with desquamation,"^. — Very distinct 
dingy-yellow color of the skin (where it is not hidden by a powdering de- 
posit of white lead),™. — Skin dingy yellow (lead jaundice),"" ™ ^". — Skin 
pale yellow, cachectic,*"'. — His whole color is that of marked cachexia or 
anaemia,*". — ^The skin assumed a well-marked cachectic color,'"".— Skin pale 
gray, very dry, in folds,"'". — Leaden color of the body,''. — General paleness 
of the whole body, even of the lips,". — Surface pale, ansemic-looking,**"**'. 
—[3960.] General surface pale,''""* '''.-/Swr/aee joafe,^^* '""^'"'".—Surface 
pale and discolored ,*°'\ — Eruptions. Body spotted with petechias 
(fourth day),"". — Dark-brown spots over the whole body,*l — Swollen red 
spots, without special sensation, in the fingers, disappearing after a few 
days,*'. — Hard movable elevations, six or seven lines broad, on the middle 
of the metacarpus, at the point where the tendon of the external radial 
muscle attaches to the metacarpal bone,'^.— Numerous small reddish and 
bluish veins on the calves,™. — Erythematous rash spread over the whole 
breast, and he died,**". — Cutaneous eruptions,"^ — [3970.] Two itching pim- 
ples on the back of the index finger, and another on the outer portion of 
the condyle of the left wrist, containiug clear water, with simple pain after 
scratching (second day),*. — Small red pimples on the chest, that desquamate 
after twenty-four hours,^ — Slowly progressive painless red pimples on the 
chest,l — The difficulty he experiences in moving obliges him to keep lying 
in the same position, which gives rise to bedsores on the sacrum and thighs,'"*- 
— Disgusting eruption on the skin,*^ — ^ Vesicles on the forehead and nose,^ 
— Cutaneous eruptions made their appearance on the legs, arms, and face, 
of a vesicular character,"'. — Excessive inflammation, swelling; eruption of 
itching vesicles, that contain a yellow liquid ; formation of scabs, beneath 
which an offensive ichor exudes, and gangrene, with delirium and consti- 
pation,'^J — Suppuration comes to a stop and disappears,'^". — A small prick 
inflames rapidly, suppurates rapidly, and then heals rapidly,". — [3980.] 
Pustules with thick pus in the angles of the nose, that is red ; pus exudes 

t From large doses. 

j From the application of Acetieum lithargyri and Aqua vegeto-mineral Gou- 
lardi, to a burn on the arm. 



124 PLUMBUM. 

after slight pressure (first day),'. — Thick eethymatous pustules over the 
■whole surface of the body, with yellow color of the skin,"'. — In one year 
had thirty or forty sores, something like boils, on the back of thigh and 
above; "push boils" in the commencement, but they enlarged and dis- 
charged very much,®'. — Small boil on the outer side of the right thigh,*". 
— Sensations. Skin of the whole right lower extremity insensible; the 
strongest stimuli produce not the slightest impression. Pain is caused in 
the subcutaneous tissues by strong pressure, twitching the muscles, or elec- 
tro-puncture,"". — Sensitiveness of the skin to the air (first and second days'),^ 
— General sensitiveness of the skin,"*. — Every part of the skin, especially 
the arms and lids, became exceedingly sensitive to touch,^'^ — Burning like 
fire in ulcers,™. — Skin burning,"'. — [3990.] Formication,■"^ — Formication 
on the extremities (first night),™ ■"". — Severe formication in the forearms 
and fingers,'*'. — Formication on the soles of the feet and insteps, especially 
on the right side, when standing up,*"'. — Sensation of formication in the 
soles of the feet; it seems to him as though he were walking on nutshells,*"'. 
— Formication on the feetj^'.^Formication on the soles of the feet,'^''^ *" "'. 
— Violent sticking itching between the left middle and ring fingers (first 
day), I — Sticking and painful formication in the soles of the feet,"'. — Stick- 
ing in the skin (first day),"*. — [4000] Some pricking on the soles of the 
feet,"l — Fine stitches here and there in the skin of the face (sixth and 
seventh days),l — Itching of the whole body,''^t — Itching in the evening, 
H. and T.J — Itching of the tetter, that was usually without sensation,*. — 
Itching of the skin,'"*. — Intense itching of the skin,'**. — Frequent itching 
on the face (first day),^ — Itching on the skin between the right thumb and 
index finger (after one day),". — Itching between the left thumb and index 
finger, not at all relieved by scratching (after five hours),*. — [4010.] Itch- 
ing with burning, especially after scratching, on a spot on the inner side 
of the right wrist; after scratching a long time a numb sensation, lasting 
several hours (first day),'. — Itching, especially on the thigh,*". — Itching of 
a dry tetter on the right tibia, that usually had no sensation,*. 

Sleep. — Sleepittess. Constant short y awnings (after one hour),*. — 
Frequent yawning (after one hour),*.- — Yawning and stretching (after a 
quarter of an hour, and one hour and a quarter),*. — Yawning, with sleepi- 
ness, an hour after dinner,*.- — Profound drowsiness,"' '*'. — At times he closes 
his eyes as if in sleep, but this drowsiness is only momentary,"*. — Drowsi- 
ness,''^^ *'* *'" *'*. — [4020,] Sleepiness,*". — Frequent inclination to sleep, with 
dulness of the head,'™. — Sleepiness, with heat over the whole abdomen and 
redness of the face (after two hours and three-quarters),*. — She could 
scarcely keep from sleeping, after an hour, disappearing in the open air,*. 
— Sleepy early in the evening; very sound sleep,*. — Easy falling asleep 
while talking and knitting (after two hours and three-quarters),*. — Some 
sleep immediately after a paroxysm, but he is soon aroused by a return of 
the pain,"'. — Talking during sleep, without knowing anything of it in the 
morning (second day),'. — Frightful starting up on falling asleep,*^ — Sleep 
is pretty good, but he sometimes wakes with a start ; he is also awakened 
whenever he stirs by the acuteness of the pains ; nightmare almost every 
night,*'". — [4030.] The patient frequently fell into a soporous condition,"'*. 
— Sopor f'.—Sleejflessness. Sleeplessness,"' '" "' '"^, etc. — Entire s/eep- 
fessness,""'" '" "*, etc. — Sleepiness at times,'™. — Sleeplessness, lasting for 
twenty dajfs,'°°. — Sleeplessness, caused by the nightly aggravation of the 

f From large dosos. J Prom Plumbum muriate. 



PLUMBUM. 125 

spasmodic pains in the abdomen,'^— Sleeplessness for eight days,"; for 
seven nights,*"; for twenty days,**. — Could not fall asleep for a long time, 
in the evening,*. — *BesUess night,^". —[iOiO.'] Restless and dreamy sleep 
at night; vifas frequently obliged to turn over (first day),". — But little sleep, 
and this never quiet ; always disturbed,™. — Was unable to sleep on account 
of violent pains," — Sleeps but little at a time on account of the great pain 
he suffers,"'. — Little sleep, which is disturbed by nightmare,"'. — Slept but 
little at first, afterwards it was impossible to sleep except from the effects 
of an anodyne,"". — Little sleep, interrupted by nightmare, which awakes 
her with a start,*". — Unable to sleep for two nights on account of pain,''^*. — 
Dreams. Sleep disturbed by dreams,". — Dreams and subdelirium,***. — 
[4050.] Sleep much disturbed by dreams, sometimes pleasant, sometimes 
anxious,™*. — Slumber often interrupted by dreams (first night),™. — Fre- 
quent dreaming, with sound sleep (first night),*. — Sleep frequently inter- 
rupted by dreams (first night),"*. — Dreams of stealing fruit in a garden 
(first night),*. — Talks with some one in a dream, in the evening,^ — Lovely 
dreams of a distant beloved person, after midnight (first and second days),^ 
— Many pleasant dreams, at night,^ — Voluptuous dreams, with erections, 
without emission (sixth and seventh afternoons),'. — Troublesome dreams, 
almost nightly,'^". — [4060.] Confused anxious dreams (third day),*. — 
Heavy frightful dreams of falling (first night),*. — ^Distressing dreams,*™. 

Fever. — Chilliness. Chilliness,''*". — Frequent attacks of chilliness 
(first day),'''*. — Cold chills,'*'. — Chills several times during the day (first 
day),'"*. — Chills and fever (with the colic),*". — Chills, without heat or sweat 
belbre the colic,"'. — Chilliness, from morning till afternoon,^ — [4070.] 
Chilliness, always worse towards evening, even by a warm stove ; head 
dull, dizzy, with thirst, redness of the face, and soft rapid pulse, over 100; 
while in bed, external heat with internal chilliness ; at last the heat in- 
creased, the skin became hot and dry, pulse frequent, without thirst; after 
midnight, the skin became gradually moist until sweat broke out on the 
chest, abdomen, and head ; after 2 o'clock, sleep with confused dreams ; on 
the next morning, tongue coated, head dull, face pale, and always on rising 
there is a stitch extending through the head from below upward ; this 
attack was repeated after ten weeks,^ — Chilliness, towards evening, even 
when close to the fire ; the head is affected and giddy, thirst, redness of the 
face, and soft frequent pulse, above 100,™*. — Shivering,*". — Shivering, cold- 
ness at the end of the crisis (after about three hours),'"*. — Shivering in all 
the limbs,'"*. — ^General coldness, with frequent shivering, which obliged him 
to be warmly clad and remain near a tire.'*".^ — -Temperature of the body 
very low, the skin very cold,*^". — Sense of coldness of body (ninth day),'*". 
— Sensation of coldness, while walking in the house (after one hour),*. — 
Surface of body cold,""'" '""""I— [4080.] Skin cool and dry,'*".— Coldness 
immediately, in the open air (after two hours and three-quarters),*. — Gen- 
eral sensation of coldness, not followed by heat,^*. — In twelve cases, there 
was a constant and very strong sensation of icy coldness, both externally 
and internally, in the paralyzed parts, and especially in the extremities of 
the affected limbs ; this was perceived by others. It was aggravated by 
the least draught of air which fell on the affected parts, especially in cold 
weather,'". — Face arid extremities cold,***. — Temperature in the morning 
39.4° C, in the evening 41° C, pulse 126, respiration 28 ; this condition 
was associated with paralysis of the elbow and shoulder-joints,*"". — Nose 
cold for several days,". — Colduess of the limbs,'" *l — The extremities were 
always cold,™.— Extremities cold,"*'*' *'"*"".— [4090.] Hands and feet very 



126 PLUMBUM. 

cold, but not ansesthetic/*^ — * Coldness of the hands andfeet,^*" "'. — Eepeated 
coldness of both arms,''*'. — Frequent coldness of the hands and forearms, 
and a very disagreeable asleep sensation j'"''. — Icy-cold hands,^"^ — Hands 
cool and cyanotic,^". — Coldness of the fingers,'™. — Unnatural coldness of 
the lower limbs, uncomfortable to myself, and perceptible to the touch of 
others. I wore my warmest winter clothing all summer, and always had a 
blanket shawl over my lower extremities, even the hottest days, when 
taking my drive; in the house I used an India-rubber water cushion to sit 
upon, and had it filled with warm water every day,^''. — Coldness of feet,^". 
—Absence of febrile symptoras,'\— Jfea#. [4100.] J'CTer,'' ™. — Fever. 
He had pleurisy. (Is there here a relation of cause and efiect, or merely 
a coincidence ?),™. — Fever, at first slight, with copious sweat,"'". — Immod- 
erate fever,'^t — Fever, with unquenchable thirst,■^^J — Violent inflamma- 
tory fever, with jaundice (second day),"'. — Hectic fever," — Exhausting 
fever accompanying the enteralgia,™. — Fever of a typhoid type, with bil- 
ious vomiting ; the patient was delirious and very restless ; afterwards 
epileptiform convulsions, followed by coma and death,^^l — ^Taken down with 
severe fever ; the day before had a severe chill towai-ds evening, followed 
by fever,'". — [4110.] A little feverish and thirsty,"'. — Occasional slight 
feverishness,™ ™. — Sensation of violent heat,*'. — Heat and thirst,^'. — Heat, 
followed by perspiration on the knees (after three-quarter of an hour),'*. — 
Increased sensation of warmth over the whole body, towards evening and 
at night, as in inflammatory fever, without increased warmth of the body 
or feverish pulse,*'. — Burning, dry heat,'". — Heat, with weakness of the 
upper part of the body lasting a few minutes, followed by weakness of the 
hands and feet, after breakfast (fourth day),*. — Anxious flushes of heat, 
with sweat, in the afternoon,*. — Flushes of heat, immediately,"*. — 
[4120.] Transient flushes of heat, with redness of the face, without anxiety, 
with sweat on the upper part of the body, frequently in the afternoon,*. — 
Temperature 100° to 103° ; 106° to 110° in the last twelve hours of life,"*. 
—Skin hot and dry,'^' «" '^'^ '*'.— Skin hot,""™ ''■'?''*'*.— Sudden heat and 
redness of the skin of the face and scalp, while the rest of the body re- 
mained cold and covered with cold sweat, shortly before death,''". — In- 
creased heat of skin,*'*. — Increase of temperature, with moist skin,'"'. — 
Temperature of the skin in general normal, rarely when uncomplicated 
with inflammation is the temperature raised,'"'. — Skin sometimes rather 
warm, and covered with perspiration, but generally cool, as in health,"*. — 
Skin hot and moist, immediately,"". — [4130.] Skin warm and moist,"*. — 
Skin rather warm, and slightly moist,''^ — Head hot, with the rest of the 
body cool, especially the hands,*'l — Flashes of heat and of perspiration 
mounted to her face, almost immediately,'^'". — Heat mounts to the head, 
without increase of external warmth (after one hour),*. — Heat mounts into 
the head, with redness of the face (after five hours),*. — Frequently heat 
rising from the abdomen into the head (after three hours),*. — Very great 
heat in the region of the kidneys ; the diffused engorgement can be felt in 
the lumbar region of the left side ; it is apparently a perinephritis from 
calculus with urinary fistula ; but the urine was scanty and high-colored, 
with fever,'"'. § — Warmth over the whole abdomen (after two hours and 
three-quarters),*. — Burning in the limbs,'*. — Sweat, [4140.] Copious 
sweat,'*" '"'''"'. — Profuse general perspiration, during the colicky paroxysm,'". 
— Surface hot, the perspiratory transudation copious,'". — Sweat over the 

f In a painter. J From large doses. J No post-mortem was made. 



PLUMBUxM. 127 

whole body (second day),'". — On first beginning to work in lead, he usually 
perspired easily on exertion, and even at night, but of late there has been 
complete absence of perspiration ,^°^ — Sticky perspiration or perfectly dry 
skin,''lt — Bathed in sweat, at 6 p.m.,"*. — Skin covered with sweat (after 
two hours),"*. — Skin sweaty,'"". — Surface bathed in perspiration,"*. — [4150.] 
Skin covered with cold sweat,"l— Cold sweat.'". f— Cold sweat,'"' *^*.— The 
paralyzed parts are often covered in the morning with copious viscous per- 
spiration,™^ — A little moisture in the skin,'". — Cold sweat on the forehead, 
hands, and feet (first day),™. — Cold sweat on the forehead and over the 
whole body,". — Sweat on the face, immediately,"*. — Face bathed in sweat,*". 
■ — Offensive perspiration on the soles,^ — [4160.] Sweat very scanty,™. — 
I have exposed her to hot-air baths every other day, during which I have 
collected from her perspiration enough urea to be enabled to detect its 
crystalline flakes under the microscope most distinctly, and also proved it 
to be urea by converting it into nitrate and oxalate of urea,*'l — For sev- 
eral years absolutely no perspiration except under the influence of power- 
ful sudorifics,"™. — * Absolute lack of perspiration,^'" *"''. 

Conditions. — Aggravation. — {Morning), On waking, discontented ; 
bitter taste; dryness in throat ; thirst; early, vomiting ; after rising, rum- 
bling in abdomen ; colic; cough; in bed, stitches in mammse ; wrists and 
ankles weak and painful; tearing in left upper arm ; after rising, pain in 
legs ; on rising, soreness and tenderness of soles of feet ; faintness. — {Fore- 
noon), Sticking and beating in right side of head ; jerking tearing in left 
eyeball ; while standing, sticking in right ear ; sensation of foreign body 
in throat; tearing in surface of left upper arm. — {Afternoon), Good- 
humored ; ennui ; ill-humored ; absorbed in work ; stitches in head ; head- 
ache in forehead; 2 p.m., stitch in left eyeball ; coryza; 2 p.m., burning in 
tip of tongue ; tearing in left hypochondrium ; stitches in right hypochon- 
drium ; stopped sensation in abdomen ; stitches in pectoral region ; stick- 
ing in upper part of sternum ; sticking in left mammse; tearing in right 
wrist; weakness of lower extremities; jerking in left thigh ; flushes of heat 
and sweat; toward evening, chilliness, warmth. — {Evening), Stitches in 
head; 9 p.m., stitches in sinciput; roaring in the ears; appetite; eructa- 
tions of gas; colic; griping in abdomen; pain in extremities; trembling 
of arms; weakness in upper limbs; tremor of upper limbs; itching. — 
(iViji/ti), Furious delirium; random talking; colic; pain in extremities; 
pain in arms; pain in calves ; the symptoms; warmth. — (Opera air). Cold- 
ness. — {Ascending stairs). Palpitation of heart ; pain in thighs ; weariness 
of knees; weight in knees; pain in right knee; faintne.ss. — {Bending to- 
ward left side). Sticking in left lumbar region. — {After breakfast). Eruc- 
tations of gas. — {Cold), Pain in lower back tooth; colic; pains. — {Before 
colia). Anorexia ; nausea. — {After colic), Frontal headache. — {After dinn.er), 
Disinclination to talk ; tearing in right ear ; boring in right ear ; thirst ; 
pulsation in hands and feet ; yawning and sleepiness. — {Drinking), Par- 
oxysms ; the symptoms. — {Excessive drinking), Tremor. — {Hot or cold 
drinks). Pains. — ( While eating). Drawing sensation in oesophagus. — {Eat- 
ing a biscuit). Pains ; nausea. — {After eating). Pressure in stomach; pain ; 
colicky pains ; fish, offensive flatus ; soup, tearing in eyelids. — {After any 
excess), Debility. — {Mental exertion). Tremor. — {After fatigue), Tremor 
of hands ; tremor. — {Food), Colic. — {Inspiration), Stitches in left side of 
chest ; pressure on left side of chest ; sticking in left mamma. — ( When in- 

■j- Prom large doaea. 



128 PLUMBUM. 

toxieated), Tremor. — (Laughing), Pressure on left side of chest ; stitches in 
left lumbar region. — (^Looking up), Vertigo. — (While lying). Drawing in 
hip-joint ; throbbing in calves. — (During micturition), Burning. — (Motion), 
Lancinations in face; anxiety about chest; lancinations in lumbar region ; 
pain in joints; pain through paralyzed limbs; cramps in forearm; pains 
in lower limbs; pain in forepart of thigh; pain in knees, calves, and soles 
of feet ; pains. — (After motion). Weakness. — (Moving eyes), Pressive pain 
above eyes. — (Moving head), Pressure in occiput. — {Moving right arm to- 
ward left). Sticking in right hip. — (Moving limbs). Cramps. — (Pressure), 
Pain in spleen and kidneys; oppression in region of heart; anxiety about 
chest; lancinations in lumbar region; pain in mammary region; pain 
through paralyzed parts ; pain through extremities ; pains in forearm, 
elbow, and axilla; pain in arms; pain in lower extremities; pain in knees 
and soles of feet. — (Pressure on hypogastrium). Pain. — -(Firm pressure on 
abdomen). Pain at umbilicus. — ( When jjressing at stool). Cutting about 
navel. — (Respiration), Pain in wall of thorax. — (During rest). Contraction 
of muscles of sole of left foot. — (Rising from recumbent position). Pain in 
abdominal muscles. — ( Running), Palpitation of heart. — { While sitting), 
Stitches in inner side of left knee; heaviness and weariness of feet. — (After 
sitting down), Sticking in right costal region. — (While smoking). Sensation 
in throat. — (While standing), Head dull and heavy; stitch in left groin ; 
sticking beneath right arm ; stitch in back ; tearing in lumbar region; pains 
from soles to hips ; tearing in left knee ; sticking in right knee. — (During 
stool). Burning in anus ; cutting colic, and cutting in anus. — (Stooping), 
Vertigo; giddiness; pain in lumbar region. — (StoaWoww^), Swollen sensa- 
tion in throat. — (After swallowing liquid), KhAommaX pains. — {Talking), 
Pain in pimples on tongue. — (Touch), Pain in hypochondria ; pain in abdo- 
men. — (Turning head sideways), Tension in nape of neck. — (Taming body 
backwards), Stitches in right side of bodyi — (At twilight), Prostration. — 
( Vomiting), Pain in umbilical region.— ( When anything goes wrong). Trem- 
bling. — (Walking), Eapidly, rush of blood to chest;' shortness of breath; 
loss of power in lower extremities ; pains from soles to hip ; pain in mid- 
dle of left thigh ; stitches in right thigh. — (Warmth of bed), Pain in large 
joints ; pain in leg ; pain in knees and soles of feet. 

Ameliomtion. — (Morning), After eating soup, heaviness in forehead. 
{Forenoon), When walking in the open air, short-sightedness. — (Night), 
All symptoms. — (Open air), Dizziness ; sleepiness.— (J?oi-aiV 6ai/i), Head 
symptoms. — (Cold water), Gt&va^a. — (Eating), Vsaxi in upper abdomen. — 
{Emission of flatus). Griping about navel ; pain in abdomen. — (Food), Faint- 
ness. — (Friction), Pain in renal region ; pain in knees and soles of feet. — 
{Lying on abdomen). Colic. — {Motion), Contraction in muscles of sole of 
left foot ; tearing in two first toes of left foot. — (Moving knee back and forth). 
Sticking. — (During pregnancy). Colic. — (Hard pressure). Pain in epigas- 
trium ; pain about umbilicus ; pain in abdomen ; colic. — (Gentle pressure). 
Pain in forearms, elbows, wrists ; pain in lower limbs. — (Pressure with fiat 
of hand), Pain in abdomen. — (Pressure), Pain in head ; griping pain in 
lower part of head ; pain in renal region ; sticking in lumbar region ; pains 
in bends of elbows ; pain in knees; pain. — (liaising foot), Contraction in 
muscles of sole of left foot. — (Rising and sitting erect). Sticking in left 
lumbar region. — (Rubbing), Pain in stomach ; stitches in left hypochou- 
drium ; sticking in left side of chest; stitches in right side; tearing in nape 
of neck ; sticking in small of back ; tearing in right ring and middle fin- 
gers ; sticking in left leg. — (Scratching), Itching on left upper lid ; itching 



PLUMBUM CHROMICUM. 129 

of left nostril; itching on coccyx. — {Standing), Pressure in occiput. — 
{Swallowing saliva), Dryness at root of palate. — (Warmth), Pain in abdo- 
men. — {Warmth 0/ 6erf), Lancinatious in knees. — {Walking), Stickinfr in 
right costal region ; weariness in hands and feet ; sticking in region of 
right hip ; pain in legs. 



PLUMBUM CHROMICUM. 

Lead chromate, PbCrO^. 

Common name, Chi^ome yellow. 

Authorities. 1, Dr. Linstow, Vjs. fur Gar. Med., 1874, p. 60, poisoning 
of two boys by eating small cakes of gum tragacanth and chi-ome yellow ; 
2, Moreau, L'Empoisonnement aigu par le Plumb et ses Composes, 1875, 
effects in a girl of sixteen, of eating large amounts while preparing artifi- 
cial flowers; 3, Leopold, Vjs. f. Ger. Med., July, 1877, effects on a worker 
in yarn, colored with chrome yellow ; 4, same, in a woman ; 5, same, in a 
man ; 6, same, in a girl ; 7, Von Linstow, ibid., effects in a child kept near 
its mother, who was working in the yarn; the dust fell upon the child. 

Head, — Headache, with ringing in the ears, pains in the chest and 
stomach, and loss of appetite; inclination to vomit,'. 

Eye. — Pupils enormously dilated,^ — Eyeballs fixed, staring,^ 

Face. — Expression of most profound prostration,\ — Face pale,'. — Lips 
■violet,^ — Lips dry,'. — Jaws firmly closed,^ 

Jtfouth. — Tongue coated yell()w,^ — [10.] Point of the tongue red,^ 

Throat, — Swallowed with difficulty shortly before death,'. 

Stomach. — Loss of appetite,* ". — Complete loss of appetite,^ — At first 
it drank freely, but afterwards refused to drink,'. — -Nausea,^ — ^Nausea, with 
inclination to vomit,^ — Nausea and vomiting,\ — In the afternoon, between 
2 and 3, both boys were taken sick with violent vomiting and great pros- 
tration ; the substances vomited at first were yellow ; the vomiting lasted 
in one till 11, and in the other case till 8 p.m., but was not frequent during 
the latter part of the time. About 6 p.m., a physician was called and 
found both patients lying in bed, seeming to be very sick, faces very red ; 
they complained of great thirst, were restless, had no diarrhoea, complained 
of no pain. Up to this time they had been perfectly healthy. The treat- 
ment consisted in the administration of Calcined magnesia. On the fol- 
lowing day the patients still had red and hot faces, were apathetic, but 
when questioned showed a knowledge of what was passing around them. 
The younger at this time had some diarrhoea, and towards noon convul- 
sions, during which the face became livid ; these convulsions became more 
frequent towards evening ; the patient died at 9 the next morning. The 
elder's face continued red; he was apathetic, almost soporous; the skin of 
the chest and abdomen was remarkably erythematous ; in the evening, 
temperature in the axilla 39.5°. The next day the pulse was irregular 
and intermittent ; temperature in the evening 39.6°. He was ordered sub- 
cutaneous injections of Chinin, as swallowing was exceedingly difficult in 
spite of great thirst. On the next day there was a bad odor in the mouth, 
sopor, difficult swallowing; temperature 39.2°. Oh the next day, a very 
bad odor in the mouth, swallowing almost impossible, mind greatly con- 
fused. Death at 11 a.m.,^ — Pain in the epigastric region,''. 

Abdomen. — [20.] Abdomen hard and forcibly retracted,^ — Pain in 
the umbilical region,". — Violent cramp in the abdomen, with constipation,^ 
VOL. Tin.— 9 



130 PODOPHYLLUM. 

Stooi.—Viohnt diarrhoea/.— Yellow diarrhoea/.— Constipation, with 
yellow fseces/. — Constipation/. 

Hespirntory Organs. — Kespiratioa short and labored/. — Eespi- 
ration short.'. 

J**/ise.— Pulse tumultuous, 126 to 130/. 

CJiest. — [30,] Eeduess of the chest and abdomen,'. — Pains in the 
chest, ■" ". 

Back. — Pain in the spine,". 

Generalities. — Frequent screaming,'. — Convulsions, with terrible 
paius.l — The child's death was caused by exhaustion and by softening of 
the coats of the stomach,'.— Great restlessness,'.— Weakness/.— Great pros- 
tration.l — Symptoms relieved by drinking warm milk/. 

SMn.—V^Q.'] Skin dry,l 

Sleej). — Sleeplessness,^ 

JTever. — Whole body hot,'. 

PODOPHYLLUM. 

Podophyllum peltatum, L. 

Natural order, Berberidese. 

Common names, May apple ; Mandrake (American). 

Preparation, Tincture of the whole plant. 

Authorities. 1, Dr. Snow, Inaug. Thesis, 1819 (from Williamson, Am. 
Inst, of Horn. Trans., vol. i), effect of 2grain pills of the extract of the 
leaves ; 2, Merrell, Am. Mag., 1851, vol. i, p. 63, effects observed while 
preparing the drug ; 3, Dr. W. Williamson, Trans. Am. Inst, of Horn., 1, 
p. 209, provlngs with 1st, 3d, and 15th dilutions; 4, Jeanes, ibid. ; 5, Ward, 
ibid. ; 6, Husemann, ibid. ; 7, Owen, Chicago Med. Examiner (from Hale's 
New Remedies, 1860), effects of eating the ripe fruit, on two girls, aged 
six and eight ; 8, Ransom, Pharm. Journ., 1862, p. 462, effects on five per- 
sons employed in preparing and packing the drug (the powder came in 
contact with the skin of the nose and lids) ; 9 and 10, Bentley, Pharm. 
Journ., 1862, p. 462, efiects of tincture applied to the skin , 11, Dr. Pietro, 
Giornale Veneto di Sc. Med., 1869 (Br. and For. Med.-Chir. Rev.), efiects 
in Dr. P., of 5 centigrams ; 11 a, same, afterward took 10 centigrams ; 12, 
Walter G. Smith, Pharm. Journ., 1869, p. 454, experiments to compare 
Dublin with American plants, took ^ grain of resin after breakfast (first 
day), same before breakfast (third day), i grain (fourth day) ; 12 o, same, 
took 1 grain ; 12 6, same, took i grain at bedtime, two days ; 13, same, a 
young man took 1 grain before going to bed ; 14, Hale, from an eclectic 
physician, effects of a large dose ; 15, Mann, Med. Invest., 9, 15, "an in- 
voluntary proving ;" 16, Berridge, Month. Hom. Rev., 15, 298, efl^ects of 
three doses, of \ grain each ; 17, Hoyne, Trans. Am. Inst, of Horn., 1872, 
p. 207, effects of a few drops of tincture, taken by a man before going to 
bed ; 18, Hutchinson, Med. Times and Gaz. (Br. J. of Hom., 31, 189), 
efi^ects of dust while grinding it ; 19, same, in a man, aged thirty-nine ; 20, 
H. Knapp, Trans. Pacific Hom. Med. Soc, ] , p. 55, effects of 2 grains, in 
a girl, aged twenty ; took next day a number of drugs to antidote the 
eflTects. 

Mead, — Vertigo, with inclination to fall forwards,'. — Vertigo, while 
standing in the open air,\ — Giddiness and dizziness, with the sensation of 
fulness over the eyes,"*. — Dulness and headache, with sleepiness, in the 



PODOPHYLLUM. 131 

morning,' *. — "^Headache, alternating ivith diarrhosa,'. — Headache and fever 
(third and fourth days),™. — Heavy dull pain in the forehead, with soreness 
over the seat of pain,'. — Pain in the left frontal protuberance, aggravated 
in the afternoon,". — Momentary darts of pain in the forehead, obliging one 
to shut the eyes, attended with giddiness,'. — -[10.] Sudden pain in the fore- 
head, with soreness of the throat, in the evening,'. — After stool, at 10 a.m., 
frontal headache, with feverishness (first day),". — Sensation of great dry- 
ness of the forehead and eyes, which was relieved for a short time by bath- 
ing the parts with cold water ; after stool, at 10 A.M. (first day),". — Press- 
ing pain in the temples, in the forenoon, with drawing in the eyes, as if 
strabismus would follow,'. — Stunning headache through the temples, re- 
lieved by pressure,'. — Morning, headache, with heat in the vertex,'. — Pain 
on the top of the head, when rising in the morning,'. 

Eye. — The inflammation of the eyes is attended with a most excruci- 
ating heavy pain, and great turgescence of the vessels of the conjuuctiva,^ 
— Inflamed eyes,'^ — Extensive superficial ulceration of each cornea, at- 
tended by general conjunctival congestion ; the ulceration was central and 
large in extent ; in the right eye its base was densely white, and looked 
exactly as if lead had been used (after ten days). No symptoms of irri- 
tation appeared while he was at work or during that evening, but on waking 
next morning, his eyes were inflamed,'^ — [20.] Left eye sore and uncom- 
fortable, especially at the inner canthus ; conjunctiva of the left eyeball 
slightly red, especially at the inner canthus,'". — Eyes glazed and motion- 
less (next morning), (in the eldei'),'. — Eyes sunken in their orbits,'. — 
Heaviness of the eyes, with occasional pains on the top of the head,'. — 
Drawing sensation in the eyes, accompanying pain in the head,'. — Smart- 
ing of the eyes,'. — Inflammation of the eyelids,'. — Pain in the eyeballs, 
and in the temples, with heat, and throbbing of the temporal arteries,'. 

Nose. — Soreness and little pustules in the nose,^. — Noses pinched,'. 

Facem — [30.] Faces pale as corpses,'. — The under jaw fallen (next 
morning), (in the elder),'. 

Mouth. — The teeth are covered with dried mucus, in the morning,'. — 
*Tongue white (fourth day),™. — White fur on the tongue, except the centre 
(fifth day),™. — * Tongue coated white, with much viscid mucus in the mouth 
(first morning),". — Sourness of the mouth,'. — Dryness of the mouth and 
tongue, on waking in the morning,'. — Copious salivation,'. — Everything 
tasted sweet (fifth day),™. — [40.] The taste of fried liver in the mouth, at 
night,'. — Had a bad taste in the mouth for several days after the most 
prominent symptoms had disappeared,". 

Throat. — Soreness in the left side of the throat, especially painful 
when swallowing liquids, and worse in the morning,'. — *Soreness of the 
throat, extending to the ears,^. — The elder complained frequently of burning 
sensation in the throat,'. — ^Dryness of the throat,^. 

Stomach. — Appetite and Thirst. Appetite much impaired, with 
unusual thirst for cold water (first morning),". — *Indifference to food,^. — 
'^'-Loss of appetite,^ ; (second day),". — * Desire for something sour,'. — [50.] 
* Great thirst,''; (fourth and fifth days),™. — Increased thirst after eating 
(first day),".— Thirst, towards evening,'. — Nausea and Vomiting.. 
*iVoMsea (second day),"; (after five hours),™. — * Extreme nausea, continu- 
iug for several hours,'. — Nausea and a little irritation of the stomach, but 
the symptoms disappeared when he went to bed,". — *Nausea, and attempts- 
to vomit, which lasted two hours (immediately),"'. — Slight nausea accom- 
panied the diminution of pulse (three hours after three pills),'. — Acidity m 



132 PODOPHYLLUM. 

the afternoon, with an unpleasant sickly sensation in the stomach,'. — After 
rising in the morning, had a sick feeling in the stomach, with occasional 
nausea (first morning),".— [60.] Vomiting had been going on for the last 
four hours almost without intermission ; the vomited matters consisted, for 
the most part, of seeds, pulp, and membranous covering of the ripe May- 
apple, having the peculiar odor of that fruit ; afterwards the elder *vom- 
ited bilious matter mixed with, blood, the bile dark-green and very thick, the 
blood dark and coagulated; she continued to vomit thick bile, with more or 
less blood mixed with it, about every hour through the night,\ — * Vomited the 
contents of the stomach, and then considerable bile (after nine hours); felt 
better; vomited again (after twelve hours),^". — ^Vomiting of hot frothy 
mucus,^. — Stomach. Epigastrium and entire abdomen tympanitic and 
very tender (in the elder girl),'. — The stomach contracted so hard and 
rapidly, in efforts to vomit, that the wrenching pain would cause them to 
utter sharp screams, one after another, for five minutes at a time,'. — Ten- 
derness over the stomach (second day), (in the younger),'. — Great tender- 
ness over the stomach and bowels, scarcely bearing the pressure of the bed- 
clothes (fourth day),^°. — Tender over stomach and bowels, increased by the 
least motion ; could scarcely bear to be touched (fifth day),™. — *Sensatioii 
of hollowness in the epigastrium,'. — *Had an empty feeling in the stomach, 
before supper, but did not feel hungry (first day),". — [70.] *Had a feeling 
of weakness in the epigastric region, at 2 a.m., which continued until the 
next morning (second night),". — Awakened by violent pains in the stom- 
ach and bowels ; the pains were of a griping, stitching character, and were 
relieved for a short time by pressure on the bowels, at 3 a.m. (first night),". 
— Soon after eating some toast, pain commenced in the stomach, extending 
into the bowels ; increasing with such severity that she could not resist 
screaming at every breath (fifth day),™. — In the night felt pain in the 
stomach, which continued to increase in severity, and was attended with 
much thirst and burning sensation, and great sense of prostration (first 
night),™. — After breakfast, had a violent burning in the stomach, as if 
caused by hot steam ; same sensation after dinner (first day),". — Cold water 
does not agree, it causes much oppression and uneasiness in the stomach ; 
small quantities of it were ejected, which tasted very bitter, and caused 
much burning in the oesophagus (first day),". — Heat in the stomach,'. — 
Throbbing in the epigastrium, followed by diarrhoea,'. 

Abdomen. — Fulness in the right hypochondrium, with flatulence,'. — 
Twisting pain in the right hypochondrium, with the sensation of heat in 
the part,'. — -[80.] Sensation of flatus in the left hypochondrium,'*. — Sen- 
sation of weight and dragging in the left hypochondrium, close under the 
ribs,'. — Stitches in the right hypochondrium, worse while eating,'. — Abdo- 
men swelled almost to bursting (next morning), (in the elder),'. — A good 
deal of flatulence was caused, in the evening (firet da)'),^l — *Flatulenee 
(second morning),"''; (second day),". — Rumbling of flatus in the ascend- 
ing colon,*. — Violent colic, followed by liquid stools, which were repeated 
until 9 o'clock (second day),"'. — Gripiug pains (second day),". — Some 
griping pains with the stools (second day),"'. — [90.] Some wandering pains 
in the abdomen, at 5 P.M.,'■^^ — Pain in the bowels, at daylight in the morn- 
ing, which is relieved by external warmth, and by bending forward whilst 
lying on the side, but is aggravated by lying on the back,'. — *Fain in the 
transverse colon, at 3 A.m., followed by diarrhoea,^. — * Severe pain in the bowek 
(after five hours),™. — Pain in the bowels occasionally, but not so severe 
(fourth day),™. — Pain in the ascending colon,*. — ^Sensation of heat in the 



PODOPHYLLUM. 133 

bowels, accompanying the inclination to go to stool,^. — After supper, sensation 
as if there would be an evacuation of the bowels. This sensation came 
and went at short intervals, until going to bed, when it ceased (first day),". 
— Awoke at 2 a.m., with slight stitching pains in bowels, with desire to go 
to stool ; did not sleep well the remaining part of the night, on account of 
occasional stitching pains in the bowels; the pains were mitigated by flexing 
the thighs on the abdomen (second night),". — The symptoms generally, 
but especially the abdominal symptoms, are aggravated in the morning 
and better in the evening,'. — -[lOO.] Tenderness and some bloating of lower 
bowels (fifth day) ; still very tender over lower bowels (sixth day),™. — Paia 
had extended into the lower bowels and right ovary, iu the afternoon (fifth 
day),». 

Hectuin and Anns. — '^Aggravation of internal piles; the rectum 
would protrude more than an inch after every motion of the bowels or after 
any sudden motion, such as sneezing, and even during any mental excitement ; 
the parts could not always be replaced very readily ; would sometimes remain 
prolapsed for days, oivlng to the swelliag and congestion,^*. — Too much bear- 
ing down at stool, as if from inactivity of the rectum,'. — Secretion of mucus 
from the anus,'. 

Stool. — *Diarrhcea, immediately after eating and drinking,^. — *Diarrlicea 
early in the morning, which continues through the forenoon, followed by 
a natural stool, in the evening,'. — From six to eight evacuations in a day,'. 
— Increased action of the bowels (after nine and five hours) ; purgation 
(eighth and fifth hours after second dose),''^^ — Free motion, in the morning ; 
the bowels open again twice loosely (second day) ; the cathartic action was 
still manifested (third and fourth days); in all six motions were obtained,'''. 
— [110.] *Evacuations in the morning, attended with strong iirgings in the 
bowels, with heat and pain in the anus,'. — *An evacuation of liquid mat- 
ter, colored yellow, and every hour for five hours the evacuation was re- 
peated,^^. — *IAquid stools, with colic (second day),"". — * Two green, watery 
stools (seventh day) ; five thin, watery, green discharges during the day, with 
considerable pain and griping (eighth day),™.— *Evacuations of green 
stools, in the morning,'. — Stools muco-gelatinous, small and infrequent, 
with flatulence, and pain in the region of the sacrum.". — * About 4 a.m. had 
an evacuation, which consisted of yellow, undigested faeces, mixed with 
mucus, and was of an offensive odor ; about 10 a.m., had another evacua- 
tion, which was accompanied with violent tenesmus, lasting some time after the 
evacuation; the stool was of a burning, acrid character, excoriated the anus, 
and caused much bearing down during and after the stool (first day) ; about 
2.30 A.M., had an evacuation from the bowels (second night),". — Small 
solid evacuation at 9 p.m. ; a copious loose stool at 12 p.m. ; the next morn- 
ing two more thin dejections resulted, attended with some griping pains, 
and an uncomfortable feeling of chilli^ess,"^ — Bowels moved twice, but 
not copiously, attended with very much pain and deadly nausea (after 
twelve hours),"". — No movement of the bowels since the second day, but 
felt like it several times (fourth day),™. — [120.] *Diarrhcea and constipa- 
tion, alternating every day or two, for several days after the most prominent 
symptoms had, disappeared". 

Urinary Organs. — Micturition painful (sixth day),™. — Scanty 
urine, with frequent voidings,'. — Urine very red (fourth day),™. 

Sexual Organs. — Sticking pain above the pubes, and in the course 
of the spermatic cords,'. — Infiamraation either of the scrotum or the eyes, 
seldom both,^ — The inflammation of the scrotum is attended with a pus- 



134 PODOPHYLLUM. 

tular eruption, which suppurates very freely/. — * Symptoms of prolapsus uteri, 
with pain in the sacrum, flatulence infrequent, muco-gelatinous stools (three 
cases ),*. — '* Sensation at stool as if the genital organs would fall out, in females,'. 
—After pains, with strong bearing down,^— [130.] *Paiii in right ovary 
and uterus (sixth day),^". 

Mespiratory Organs. — Sensation of sufFocation, when first lying 
down at night,^ — Shortness of breath,^ — Inclination to breathe deeply ; 
sighing,^ 

Chest, — Snapping in the right lung, like breaking a thread, when 
taking a deepinspiration,l — Pains in the chest, increased by taking a deep 
inspiration,'. — Feeling of oppression in chest, with constant inclination to 
take a deep inspiration, but was prevented from so doing on account of a 
feeling of constriction in the chest (first morning),". — Sensation in the 
chest, as if the heart were ascending to the throat,^ 

Heart and Pulse. — Sticking pain in the region of the heart,'. — 
Palpitation of the heart, from physical exertion, in persons subject to rum- 
bling in the ascending colon ; heavy sleep, and a feeling of fatigue on 
awaking in morning, followed by drowsiness in the forenoon (numerous 
cases),*. — [140.] Palpitation of the heart, from exertion or mental emotion,'. 
• — Pulse. Pulse 100 (fourth day) ; 110 in the morning, 116 in the after- 
noon (fifth day),™. — Pulse quicker and smaller than usual, with slight pal- 
pitation of the heart (first morning),". — Pulse 76, full and strong (before 
the experiment) ; 64 (one hour after three pills) ; the same, small and 
feeble, accompanied with slight nausea (after three hours),\ — Pulse 74, 
full and strong (before the experiment) ; 61 (one hour after two pills) ; 
still the same, weak and small (after three hours),\ — Normal pulse 76 ; 
diminished to 65, and continued so for about two hours (one hour after 
one pill),'. — Pulse very weak, and scarcely perceptible at the wrist,'. 

Neck and Sack. — Pain in the nape with soreness, increased by mo- 
tion,'. — Stiffness of the nape, with soreness of the muscles of the neck and 
shoulders,'. — Pain between the shoulders, in the morning,'. — [150.] Pain 
between the shoulders, with soreness, worse night and inorning, and in- 
creased by motion,'. — *Pain under the right sthoulder-hlade^. — Pain in the 
small of the back, when walking or standing, with the sensation of the 
back bending inward,'. — Pain in the lumbar region, with the sensation of 
coldness, worse at night, and from motion,'. — Pain in the loins, increased 
by a misstep, and walking over uneven ground,'. 

JExtreinities. — Aching of the limbs, worse at night,'. — Weakness of 
the joints, especially the knees,'. — Weakness of the wrists, with soreness to 
the touch,'. — Pain and weakness in the left hip, like rheumatism from cold, 
increased by going upstairs,'. — Pains in the thighs, legs, and knees, worse 
from standing,'. — [160.] Spasmodic sensation in right thigh and leg (fifth 
day),'". — Heaviness and stiffness of the knees, as after a long walk,'. — 
Cracking in the knee-joints from motion,'. — Pain in the left knee, leg, and 
foot,'. — More pain and cramps in right leg, in the afternoon (fifth day),". — 
Sharp pain in the outer and upper portion of the left foot,'. 

Generalities. — *Faintness, with the sensation of emptiness in the 
abdomen after stool,'. — *Sensation of great prostration attended the pain in 
the stomach,'". — Stiffness on beginning to move,'. — Very nervous and crarapy 
(fifth day),". — [170,] Sudden shocks of jerking pains,'. — Distress after the 
first sleep, in the evening,'. — *All the symptoms except the feeling of weakness 
in the epigastric region aggravated from 2 to 4 a.m. (second day),". 

iSJein. — Very evident rubefacient and vesicant effects,'. — It produces a 



PODOPHYLLUM. 135 

rapid pustulation, which appears first in the form of minute vesicles filled 
with a serous fluid, which speedily changes to a whitish or yellowish pus ; 
the superficial inflammation is at the same time quite severe; the pustules, 
as a general thing, are slow in healing,'". — Eruption of " scabs " on the 
arms and legs,'^ — Intolerable itching of the skin on the body and arms ; 
on scratching, it raises up in blotches like hives (eighth day),™. 

Sleep. — Drowsy and difficult to wake, in the morning,l — *Sleepinesss 
in the daytime, especially in the forenoon, with rumbling in the howeh,^ * \ 
— Sleepiness, early in the evening,\ — [180,] Too heavy sleep at night,l — 
Rising up in bed during sleep, without waking,'. — *Moaning in sleep, ivith 
eyelids half closed,^. — * Unrefreshed by sleep, on waking in the morning," * ° ". 
— * Bestlessness in the forepart of the night,"*. 

Fever. — Chill inesfs. In the afternoon had a chill, followed by some 
fever and headache (third day) ; some fever and headache (fourth day),™. 
— Chilliness (second day),'^ — Uncomfortable feeling of chilliness witli the 
stool (second day),''^". — Shivering and a feeling of prostration (after four 
hours),"".— *r/iejBam in the bowels at first is attended with coldness, which is 
followed by heat and warm perspiration,". — [190.] Coldness of the feet,". — 
Heat. Felt feverish during the afternoon, with occasional spells of chilli- 
ness,- which was not relieved by the heat of the stove, but was relieved by 
covering up warmly in bed (first day),". — After stool, at 10 a.m., feverish- 
ness, with frontal headache (first day),". — Intermittent fever, quotidian, 
tertian, and quartan,". — Temperature of body considerably increased (first 
morning),". — ^Flashes of heat running up the back, after stool,". — Sweat. 
Profuse sweating, so much so that it dropped off of the prover's fiuger- 
ends,'°. — Bathed in cold perspiration,'. — Perspiration of the feet, in the 
evening,". 

Conditions. — Aggravation,^ — {Morning), Dulness ; headache, etc.; 
on rising, pain in top of head ; teeth covered with mucus ; dryness of 
mouth and tongue ; sore throat ; after rising, sick feeling ; pain in bowels ; 
abdominal symptoms ; diarrhoea ; green stool ; pain between shoulders ; 
drowsiness. — (Forenoon), Pain in temples ; drowsiness. — (Afternoon), Pain 
in left frontal protuberance ; acidity ; 5 p.m., pain in abdomen ; pain and 
cramps in right leg; chilliness ; feverishness. — (Toward eveuiw.jr). Thirst. 
— (Evening), Soreness of throat; flatulence; after first sleep, distress; 
sleepiness; sweat of feet. — (Night), Taste of liver in mouth; 2 a.m., weak- 
ness in epigastric region ; pain in stomach ; 3 A.M., pain in transverse colon ; 
when first lying down, suffocation ; pain between shoulders ; pain in lum- 
bar region ; aching of limbs ; 2 to 4 a.m., nearly all symptoms. — (After 
irea/c/osi), Burning in stomach. — (While eating), ^\Ai(i\\Qs in right hypo- 
chondrium. — (After eating), Thirst. — (After eating and drinking). Diar- 
rhoea. — (Exertion), Palpitation of heart. — (Going upstairs), Pain in left 
hip. — (Deep inspiration), Snapping in right lung ; pains in chest. — (Lying 
on back), Pain in bowels. — (Mental emotion), Palpitation of heart. — (Mis- 
step), Pain in loins.^( Moiiow), Tenderness of stomach; pain in nape; pain 
between shoulders; pain in lumbar region; cracking in knee-joints. — 
(While standing in open air), Vertigo. — (Standing), Pain in small of back; 
pain in thighs, legs, and knees. — (After stool). Frontal headache ; dryness 
on forehead. — (Swallowing liquids), Sore throat. — ■( Walking), Pain in small 
of back ; over uneven ground, pain in loins. — (Cold wa^er). Oppression 
and uneasiness in stomach. 

Amelioration. — (Evening), Abdominal symptoms. — (Bathing parts 
in cold water), Dryness of forehead and eyes.— (Bending forward), Pain 



136 POLYGONUM. 

in bowels. — {Flexing thighs upon abdomen), Pain in bowels. — (Pressure), 
Headache through temples; pain in bowels. — {External warmth), Pain in 
bowels. 

POLYGONUM. 

Polygonum acre, H. B. K. (P. punetatura, Ell.; P. hydropiperoides, 
Pursh). The closely allied species, P. hydropiper, L., is not perennial, but 
in other respects is very similar to P. acre ; both possess properties nearly, 
if not absolutely, identical. These are the only American acrid species. 

Natural order, Polygonacese. 

Common names, Smart Weed, Water Pepper, etc. 

Preparation, Tincture of the whole plant. 

Authorities. 1, Dr. Wra. E. Payne, Trans. Am. Inst, of Horn., 1859, 
proving with the tincture, repeated doses of 10 to 60 drops, for eight days; 
2. same, N. M. Payne, proving with tincture, 10 to 20 drop doses, for four 
days, 20 to 60 drop doses ninth to twentieth day; 3, Dr. B. F. Joslin, 
Hale's New Remedies, 2d ed., p. 836, effects of chewing a leaf; 3 a, same, 
two doses, each of 1 drop of tincture; 4, Dr. C. C. Cameron, from Hale, 
proving with tincture, 5 to 100 drop doses, during three days. 

Head,. — A slight vertiginous feeling passed over the head, followed, in 
a short time, by a sensation in the arms and legs as of a galvanic current 
passing through them (after two hours, third day),'. — Dizziness and trem- 
bling of the limbs, with pain in left temple and left side of head (after 
second dose, fourth day),l — Head feels dull (after third dose, second day),^ 
■ — Obtuseness of the head and general lassitude (third day),^— Dull head- 
ache all the morning (tenth day),'. — Dull headache, with pain in epigastric 
region, after dinner (fifteenth day),l — Headache, in the afternoon, with 
cold feeling in the stomach (eleventh day),l — Headache (thirteenth day),''. 
— Headache during forenoon and after dinner (fourteenth day),^ — [10.] 
Fulness of head (after fifth dose, second day),*. — Pulsative headache, with 
sensation of fulness (fourth day),\ — Dull throbbing or pulsative headache 
(sixteenth day),''. — Dull pain in forehead (eighteenth day),''. — Headache 
in left frontal region (first day),*. — Severe frontal headache (third day),*. 
• — Great pain in the head, shifting from the frontal to the occipital region 
(third day),*. — Frontal headache, with darting pains through the temples, 
in the orbits, the knees, and legs (tenth day),". — Momentary pain in the 
right frontal protuberance, and instantly afterwards in the right occipital 
protuberance (after half an hour),'. — 1 p.m., pulsative and acute pain in left 
temple (ninth day),\ — [20.] Pain in left temple and left side of head, with 
dizziness and trembling of the limbs (after second dose, fourth day),''. — 
Slight pain in the sinciput and trembling of the limbs (one hour after third 
dose, second day),".. — Pain in forehead and sides of head, extending into 
the orbits (three-quarters of an hour after second dose, second day),".— 
Occasional shooting through the occiput (third day),". 

jEJj/e. — Itching and burning in the eyes (after second dose, fourteenth 
day),". 

Nose. — Frequent sneezing, as from cold, in the head (nineteenth day),". 
— Smarting raw feeling in pituitary membrane, as from cold (after third 
dose, fifteenth day),". — Irritation and smarting in schneiderian membrane, 
as if from cold in head (after second dose, sixth day),". 

Face. — Pain in region of zygoma (left side),'. 

JHoutll, — Pain in the right antrum, as if proceeding upwards from a 



POLYGONUM. 137 

tooth, yet the tooth from which the pain appeared to proceed was sound ; 
this pain occurred frequently (after seven hours, third day),'. — [30.] 
Tongue coated yellow (fourth day),*. — Tongue feels as if swollen (eigh- 
teenth day),"". — Burning all the way from the roots of the tongue to pit of 
stomach (eighteenth day),l — Sensation of heat in the mouth and throat, 
commencing at the tip of the tongue and extending to much of the mouth, 
then to the throat at the right upper part (after a quarter of an hour, 
second day),^". — The salivary excretion, which before had been thick and 
scanty, now became abundant and thin (fourth day),'.— Taste pungent, 
like that of black pepper,*. 

Throat. — Sore throat (eighteenth day),^ — Smarting and scraped feel- 
ing in the throat (after third dose, fourteenth day, and after second dose, 
fifteenth day),^ — Burning and scraping in throat (ninth day),^ — Burning 
in throat, fauces, and stomach (eighteenth day),''. — [40.] Scraping in the 
throat (after third dose, second day),^ — Sensation of dryness and scraping 
in throat (after one hour, first day),^ — Dry tickling sensation in the throat 
(after third dose, second day),*. — Burning and scraping in fauces (after 
second dose, nineteenth day),*. — Scraping and dryness in the fauces (soon 
after second dose),^ — Throbbing of the carotid arteries (third day),l 

Stomach. — Appetite and Thirst. Voracious appetite (fourth 
day),l — ^Appetite greatly increased (tenth day),^ — Increased appetite for 
breakfast (eleventh day),l — Hunger (fifteenth day),l — [50.] Appetite di- 
minished (after second dose, sixteenth day),^ — Voracious appetite for 
breakfast (seventeenth day),l — ^Loss of appetite (fourth day),*. — Great 
thirst for cold water, yet water produces nausea (sixteenth day),^ — Thirst, 
with nausea (sixteenth day),'-'. — Mructations. Eructations (third day),*. 
— JVailsea. Nausea and rumbling in the abdomen, with diarrhoeic stools 
(two hours after first dose, second day),*. — Nausea, with slight pains in 
lower intestines, rectum, and anus (after third dose, second day),*. — Con- 
tinual nausea, as if proceeding from the small intestines, and thence ex- 
tending upwards to the pit of the stomach (third day),*.— Breakfasted with 
usual appetite, but felt nauseated after meal, followed by rumbling and 
movement in the abdomen, as from approaching diarrhoea (fifth day),'. 
— [60.] Nausea, with cold feeling in abdomen (sixteenth day),*. — Nausea, 
with thirst (sixteenth day),*. — Constant nausea (after second dose, sixteenth 
day),*. — Nausea after eating, as if proceeding from the abdomen (seven- 
teenth day),*. — StOfnacJl, Aching in stomach and abdomen all day 
(ninth day),*. — Tensive feeling in stomach (thirteenth day),*. — Throbbing 
cutting pain in stomach (after two hours, first day),*. — Severe pain in epi- 
gastrium, lasting for about half an hour (half an hour after second dose),*. 
— Pain in the pit of the stomach, with cutting and shooting pains in the 
lower intestines (one hour after third dose, second day),*. — Pain in the 
stomach, relieved by food (after second dose, fourth day),*. — [70.] Pain in 
epigastrium and the lower intestines (ninth day),*. — Pain in epigastric re- 
gion after dinner, with dull headache (fifteenth day),*. — Sharp cutting pain 
in stomach and intestines (after second dose, nineteenth day),*. — Acute 
pains in the epigastric and umbilical regions (fourth day),*. — Shooting 
pains in stomach (after second dose, twentieth day),*. — Sensation of heat in 
the stomach, borborygmus, and emission of flatus per anum (soon after 
third dose, second day),*. — Burning pain in the stomach, immediately (third 
day),*. — Burning in stomach and abdomen (after second dose (sixteenth 
day),*. — Burning in the stomach (two hours after dose, seventeenth day),*. 
— Burning in stomach, throat, and fauces (eighteenth day),*.^[80.] Cold 



138 POLYGONUM. 

feeling in the stomach, with headache, in the afternoon (eleventh day),l — 
Cold feeling in pit of stomach (seventeenth day),". — Cold feeling in pit of 
stomach, and shooting pains, with burning, in chest (two hours and a half 
after dose, nineteenth day),^ 

Abdoinen, — Sticking pains in the right hypochondrium (third day),*. 
— Severe lancinating pains in left hypochondrium, while walking (half an 
hour after third dose, fifteenth day),^ — Dull heavy pains in the umbilical 
region, relieved by pressure (first day),''.^Emissiou of offensive flatus (six- 
teenth day),^ — Borborygmus (second day),*. — Rumbling in the abdomen 
(two hours after first dose, second day),'\ — Rumbling in the abdomen, with 
desire to stool (after second dose, fourteenth day),^ — [900 Continual rum- 
bling and pain in abdomen, with tenesmus ani and hard lumpy fseces (two 
hours after dose, seventeenth day), I — Constant rumbling in abdomen 
(twentieth day),^ — Rumbling pain and griping in abdomen, with copious 
discharge of clear light-colored urine, which was previously red and scanty 
(after third dose, second day),^ — Griping pains in the abdomen, with loose 
stools and painful urination (seventeenth day),'. — Aching in abdomen and 
stomach all day (ninth day),''. — Lancinating pains throughout the whole 
abdomen (nineteenth day),^ — From 5 to 6 p.m. cutting coliclike pains just 
below the stomach, in region of colon (seventh day),'. — Sharp cutting pain 
in intestines and stomach (after second dose, nineteenth day),l — Cutting 
cramplike pain in abdomen (sixteenth day),^ — Occasional pulsative pains 
in region of colon, lasting one hour (eighth day),'. — [100.] Cold feeling in 
abdomen, more in region of transverse colon and stomach, with nausea 
(sixteenth day),l — Rumbling and gurgling in the lower part of the abdo- 
men, proceeding upwards, with desire for stool (sixteenth day),^ — Cutting 
and shooting pains in the lower intestines, with pain in the pit of the 
stomach (one hour after third dose, second day),^ — Pulsative pains at the 
pit of the hypogastric region, as if in the left portion of the bladder (fourth 
day),'. — Pain in the lower intestines and epigastrium (ninth day),^ — Pain 
in hypogastrium and rectum, with rumbling in those parts, proceeding from 
below upwards, and insufficient stool (after second dose, sixteenth day),l — 
Pain in lower parts of abdomen half an hour after eating (fifteenth day),''. 
— Pain in hypogastric region, rectum, and anus (ninth day),'. — Cutting 
pain in lower part of bowels, with constant urging to stool, and frequent 
discharge of flatus (sixteenth day),". — Throbbing pain in left inguinal 
glands, lasting half an hour (sixteenth day),". 

JRectum and Anus.— [110.} Dull pain in the rectum (after second 
dose, fourteenth and twentieth days),". — Pain in rectum and anus and in 
hypogastric region (nineteenth day),". — In the evening the interior of the 
anus was studded with itching eminences, as from corrugation, without con- 
traction, a kind of hsemorrhoidal tumor (third day) ; they disappear within 
two days,'''. — Inefl'ectual urging to stool, with discharge of a great quantity 
of fetid flatus (after two hours and a half, third day),". — Constant urging 
to stool (tenth day),". — In the afternoon straining at stool, with mucous jelly- 
like discharge; yellowish-green stools (after second dose, sixteenth day),". 
— Tenesmus, with nausea, at 9 p.m. (sixteenth day),". — Tenesmus ani, with 
hard lumpy fteces (two hours after dose, seventeenth day),". — Ineffectual 
urging to stool and tenesmus, with pulsative pains in the hips and loins 
(nineteenth day),". 

Stool. — Diarrhoeic stools (two hours after first dose, second day),". — 
[120.] Diarrhoeic stools discharged with considerable force (ninth day),". — 
Diarrhoeic fseces and abundant flow of urine (tenth day),". — Frequent diar- 



POLYGONUM. 139 

rhoeic stools (nineteenth day),l — Copious liquid stools, followed by a smart- 
ing sensation of the anus, at 2.15 (my bowels had moved as usual at 8 a.m., 
and are generally very regular), (three-quarters of an hour after third dose, 
second day),*. — Stool at usual time ; first part of fseces hard and painful, 
last part soft (sixth day),^. — Hard lumpy faeces, with tenesmus ani (two 
hours after dose, seventeenth day),''. — Alternating constipation and diar- 
rhoea (after second dose, twentieth day),l — Constipated since the second 
day (fourth day),*. 

Urinary Organs. — Bladder and Urethra. Cutting pains 
extending apparently along the ureters down to the bladder (nineteenth 
day),^ — Pain in neck of bladder (after second and third dose, fifteenth 
day),l — [130.] Constricted feeling at the neck of the bladder while urin- 
ating, with pain in the testicles and spermatic cords (after second dose, 
fifteenth day),^ — Painful cutting and feeling of strangulation at neck of 
bladder when urinating, lasting a long time (after third dose, fifteenth 
day),^ — Feeling of strangulation in the neck of the bladder (after second 
dose, sixteenth day),'\ — Pain in neck of bladder (sixteenth day), I — Pulsa- 
tive pain in region of prostate gland, occasionally extending along the 
urethra, continuing for half an hour (eighth day),\ — Burning sensation 
in prostate gland (after second dose, fourteenth day),^ — When voiding 
urine, slight pain apparently in prostate gland (after second dose, fourteenth 
day),^. — Itching in the orifice of the urethra and around the glans penis, 
and constant desire to urinate (fifteenth day),l — Micturition and 
Urine. Increased desire to urinate (after third dose, second day),^ — 
Urging to urinate, with smarting in the urethra (two hours after second 
dose, thirteenth day),l — [140.] Constant desire to urinate (sixteenth day),". 
— Voided urine at three several times during the night, an occurrence that 
has never happened before with the prover (second day),'. — Copious dis- 
charge of light-colored urine, which previously was red and scanty, with 
rumbling pain and griping in abdomen (after third dose, second day),^ — 
Free discharge of light-colored urine (soon after dose, fourth day),'. — Urine 
scanty and dark (third day), I — Voiding of an unusually large quantity of 
urine (ninth day),l — Abundant flow of urine and diarrhoeic fseces (tenth 
day),l — Copious flow of urine, with continued pains in spermatic cords and 
testicles ; worse in left (Staph, seemed to relieve the pain considerably), 
(twelfth day),^ — Increased flow of urine, with irritation at the neck of the 
bladder and smarting in the urethra (after second dose, fourteenth day),''. 
— Copious flow of straw-colored urine (fifteenth day),l — [150.] Copious 
flow of clear light-colored urine (eighteenth day),l — Profuse pale urine 
(twentieth day),l 

Sexual Organs. — Pain in left spermatic cord and testicle, continu- 
ing all day, with soreness of the testicle; at the same time, occasional dart- 
ing pains in right spermatic cord and testicle (eleventh day),\ — Pain in 
spermatic cord and testicles continues (thirteenth and fourteenth days),^ 
— Pain in left spermatic cord and testicle (seventeenth day),^ — Itching 
and stinging of prepuce (after second dose, fifteenth day),^ — Pain and 
soreness in left testicle, and extending along spermatic cord (nineteenth 
day),'. 

•Respiratory OrgraHS.— Constriction of the larynx (first day),*. — 
Dry cough, in the night, excited by titillation, in the upper anterior part 
of the chest, with a dry sensation in the larynx when coughing (after about 
twelve hours),'*'. — Cough excited by a pricking-tingling sensation behind 
the upper part of the sternum (after forty minutes, second day),'*''. 



140 POLYGONUM. 

Chest, — [160.] Sharp pain under the right scapula, extending into the 
chest and to the pit of the stomach, with heavy beating of the heart and 
throbbing of the carotid arteries (third day),l — Pulsative pressive pains 
just above the xiphoid cartilage (eighth day),'. — Cutting pain in left side 
of chest (eighteenth day),''. — Burning in chest, with cold feeling in pit of 
stomach and shooting pains (two hours and a half after second dose, nine- 
teenth day), I 

Heart and Pulse. — Sharp cutting, shooting pains in region of 
heart, extending through to left shoulder-blade (two hours and a half 
after third dose, second day),^. — Heavy beating of the heart (third day),'. 
— Pulse 65 (after third dose, second day),^ 

Week and JBaeJe. — About midnight awoke with severe lameness of 
the muscles of the left side of the neck, extending to the shoulder, and 
rendering movement painful (third day),\ — Lameness of muscles of neck 
continued, with the same pulsative and wandering pains (fourth night),\ — 
Pulsative pains in left lumbar region (fourth day),'. — [170.] Aching in the 
loins, with pain around the left hip-joint (nineteenth day),^. — Pain in the 
sacrum and bladder, with desire to urinate, not relieved by voiding large 
quantities of urine (one hour after a dose, nineteenth day),^ 

Extremities. — Trembling of the limbs (ninth and sixteenth days),^ 
— Limbs feel bruised (sixteenth day),^ — Shooting pains in the arms, back, 
and legs (fourth day),*. 

Superior Extremities. — Shooting pain in the left arm, from the 
elbow to the tips of the fingers (third day),*. — Dull pain in extensor mus- 
cles of left arm, from shoulder to wrist (after third dose, second day),''. — 
Sharp pain in right shoulder-joint, extending to elbow in one direction, and 
the trapezius muscle in the other, with occasional shooting through the oc- 
ciput (third day),l — Pulsative and intermittent pains in left shoulder-joint 
(fourth day),'. — Aching in the left shoulder, when recumbent, about 11 
P.M., soon after going to bed (second day),'. — [180.] Painful pressure on 
the left palmar-radial side of the right forearm, an inch and a half above 
the wrist, at the spot where the radial artery is distinctly felt, lasting seven 
minutes (after ten minutes),'^ — Throbbing, shooting pain in the left wrist, 
extending to the tip of the middle finger (first day),*. 

Inferior Extremities. — Aching pains in lower extremities (eigh- 
teenth day),l — Dull pain in legs, with tensive pain in calves and weariness 
(after third dose, second day),l — Pulsative pains in the hips and loins, with 
ineffectual urging to stool and tenesmus (nineteenth day),^ — Pains around 
left hip-joint, with aching in the loins (nineteenth day),''. — Pain in knee- 
joints, extending down to ankles (eleventh day),". — Aching pain in knees 
(after second dose, nineteenth day),^ — Pain in the left knee, with a feeling 
of great weakness (third day),*. — Severe aching at the forepart of the left 
tibia, about four inches below the knee, from 1 to 2 p.m. (second day),'. — 
[190.] Pain, pressive and remittent, for two consecutive evenings, at the 
anterior-inner surface of the head of the left tibia (third and fourth days),''. 

Generalities. — Trembling of the whole body, with profuse perspira- 
tion from moderate exercise (third day),^ — Great weariness after walking 
(twentieth day),'. — Extreme lassitude, after taking a short walk (third 
day),'.— Feeling of excessive debility (seventeenth day),'. — Sensitiveness to 
cold (thirteenth day),'. — Pains moving from place to place; erratic (after 
third dose, second day),'. — Pains move suddenly from place to place, in the 
ball of the little toe of the left foot, in the right shoulder-joint, in the right 
foot, at the left extremity of the stomach, in the knees, etc. The pains 



POLYGONUM— POLYPOKUS OFFICINALIS. 141 

were momentary, but frequently recurred. Sometimes a single pulsation, 
at other times several, before the pains appeared in another place. The 
character and movement of these pains reminded the prover of the flash- 
ing of the Aurora borealis, or rather, perhaps, of the distant electrical phe- 
nomenon sometimes observed in a thunderstorm after the cloud has passed far 
away ; a tremulous electrical movement (fourth day-),\ — Same erratic pains 
continue in region of mastoid processes, at the insertion of the deltoid mus- 
cles, etc. (fifth day),\ — Pulsaiive and wandering pains continue in wrist 
and finger-joints, more in the metacarpo-phalangeal joints, in epigastrium, 
abdomen, etc. (fifth day),\ — [200.] Pulsative and wandering pains con- 
tinued through the day, but mostly when within doors, scarcely felt when 
in open air (sixth day),\ — Pulsative and erratic pains continue, especially 
when in the house (seventh day),'. — Erratic pains continue (eighth and 
ninth days),\ 

Skin. — Skin of the whole body dry (after second dose, fifteenth day),^ 
— In the evening a scarlet eruption, about three inches in width, made its 
appearance around the waist, itching and burning, attended with pain 
(third day). Appeared on two successive evenings,^ — Itching and burning 
around the waist, and fine, red eruption (sixteenth day), I — Itching under 
the eyes (after second dose, fifteenth day)l — Itching and burning around 
the waist, during forenoon (fourth day),^ — Intolerable itching in the left 
shin, a little above the ankle, at 6 a.m. (second day),^. — Burning ting- 
ling in the whole body, more in legs and feet, forearm and hands (nine- 
teenth day),^ 

Sleep. — [210.] Restless sleep, with unpleasant dreams; awoke unre- 
freshed (ninth day),^ — Uneasy sleep and dreams (fourteenth day),l — 
Dreams, but could not recall them (tenth day),^ — Dreamed of having a se- 
vere headache, and awoke with the head aching violently (after third dose, 
fifteenth day),^ — Laborious and fatiguing dreams (sixteenth day),^ 

Fever, — Alternations of chills and heat (after second dose, fifteenth 
day),^ — Feet alternately cold and hot (thirteenth day),l — Great heat and 
burning of the feet, continuing one and a half hours, and then suddenly 
becoming uncomfortably cold (third day),^ — Profuse perspiration and 
trembling of the whole body, from moderate exercise (third day),''. 

Conditions. — Aggravation. — (Morning), Dull headache.— (^./ier- 
noora), Cold feeling in stomach. — (After dinner), Hea.da.che ; pain in epi- 
gastric region. — ( Within door.?), Wandering pains. — (After eating), Nausea. 
( When recumbent), Aching in left shoulder. — ( While urinating). Constric- 
tion in neck of bladder; cutting in neck of bladder. — (After walking), 
Weariness. 

Amelioration, — (Open air), Wandering pains. — (Food), Pain in 
stomach. — (Pressure), Pain in umbilical region. 

POLYPORUS OFFICINALIS.f 

Polyporus officinalis. Fries. 

Natural order, Fungi. 

Common names, Larch agaric. 

Preparation, Tincture of the fresh plant. 

Authorities. 1, Dr. Burt, Am. Hom. Obs., 1868, p. 116, took 25 grains 

t This includes tlie first proving by Dr. Burt, published in this work under 
Boletus. 



142 POLYPORUS OFFICINALIS. 

of 3d dec. trit, at 10 A.m. and 9 p.m. (first day) ; 20 grains, crude, 10 a.m. 
(second day) ; 30 grains (third day) ; 40 grains (fourth day) ; 32 grains 
(iifth day); 50 grains (sixth day); la, same, second proving, continued 
four days, the first day took 115 grains; 2, F. A. Lord, Am. Hem. Obs., 
1868, p. 60, repeated dose of 1st dec. trit., for five days ; doses, 1 to 20 
grains; 2a, same, one dose of 40 grains, 1st dec. trit.; 2 6, same, took 
crude, 10 grains, at 6 and 9 p.m., first day, at noon second day; morning, 
20 grains, at noon fifth day ; 40 grains, sixth day ; 2 c, same, one dose of 20 
grains, crude ; 2 d, same, 40 grains, crude ; 3, R. C. Smedley, took 3d dec. 
trit. for three .days, 5 to 100 grain doses, then 1st dec. trit. for two days, 80 
and 100 grain doses, then crude, 20 to 50 grain doses for two days; 4, 
J. B. Wood,, took 1st trit. for six days, 1 to 100 grain doses ; 4 a, same, sub- 
sequently took crude, 5 to 20 grain doses ; 5, E. Cooley, took crude, 10 to 
25 grain doses; 6, E. Miller, took 1st trit. 50 grains, first and second days; 
25 grains, third day; 60 drops, 1st dil., fourth day; 100 drops of tincture, 
sixth day. 

jyiinil. — *Mind gloomy and desponding (second day),^ ^ — * Gloomy and 
desponding, and even morose (ninth day),". — * Very sad and gloomy,'^. — Low- 
spirited and irritable (sixth day),^". — Very dull and depressed all day,''*. — 
Feel dull and indisposed to exertion (seventh day) ; for five days succeed- 
ing this I had not my usual appetite or spirits ; sufi^ered from a general 
feeling of not being quite well, but without any special describable pains 
or symptoms ; it wasprecisely the feeling of one who is said to be bilious,''^ 

Head. — My head is feeling very light and hollow, with deep frontal 
headache, in the morning (sixth day),\ — Head feeling light (seventh day),'. 
• — *Light dizzy feeling in the head (third day),^ — [10.] Slight feeling of ful- 
ness in the head (sixth day),'"". — Awoke with a dull pain in the head, which 
continued all day; thought it might be due to a glass of ale drank the 
evening before (third day) ; awoke with a dull pain in the head, with sen- 
sation of soreness in the brain, increased by stooping or shaking the head ; 
this headache is precisely similar to that experienced on the third, which 1 
attributed to the glass of -ale ; I now believe that the pain at that time was 
caused by the Polyporus (seventh day),■^^ — *Dull headache (third day),". 
• — Dull feeling in head (tenth day),'*. — *Dull aching pain in the head (after 
ten hours, sixth day),''. — Severe headache, aggravated by motion (after 
seven hours, third day),". — Pain in the head, jaws, and teeth (filth day),^ 
— Head ached severely all night (third night),'. — *Headache, qualmishness, 
relieved by eructations (third day),''". — Most of the head symptoms greatly 
aggravated (after four hours, fourth day),^ — [20.] Severe serailateral 
headache (ninth day),^ — Forehead. *Dull frontal headache, lasting all 
day (after half an hour),'. — Continued dulness of the forehead, with slight 
aching (first day),*'. — Dull frontal headache (third day),'; (tenth day),^ 
• — Dull frontal headache (fourth day) ; in the evening (fifth day),l — Dul- 
ness of the forehead (second day),'. — Dull, heavy pain in the forehead, 
worse on motion (second night),". — Heaviness of the forehead (fourth 
day),*'. — At 8 a.m., violent frontal headache ; very much aggravated by 
waliiing; head feels light and hollow (fourth day),'. — Hard frontal head- 
ache (fifth day),'. — [30.] "Violent frontal headache, with an extremely 
light, hollow feeling of the head ; the headache is greatly aggravated by 
walking (sixth day),'. — Deep frontal headache for the last forty-eight 
hours (seventh day),". — Frontal headache, aggravated by motion (second 
day),l — Continuous oppressive headache in forehead and" temples, all day 
(sixth day),".— In the evening tight feeling in the forehead, with slight 



POLYPORUS OFFICINALIS. 143 

headache (second day) ; tightness of the forehead as yesterday (third day),*. 
— Tightness across the forehead, with dull headache (fifth day),\ — Mo- 
mentary twinge over the left eyebrow (sixth day),^''. — Tetnptes. Dull 
pains through temples (second day),'. — Dull, heavy pains through temples 
and in forehead (ninth day),". — Aching soreness through temples (seventh 
day),'. — [40.] Lacerating pain in the right temple, at 9.40 p.m.,''. — Neu- 
ralgic pain in the temples (second day),°. — Neuralgic pains in the temples, 
face, and teeth, lasting four hours (fourth day),^ — Some pain in the temples 
(ninth day),*. — Frequent neuralgic pains in the temples (second day),". — 
Frequent cutting pain in the temples (after ten hours),". — Severe pain in 
the left temple, of a neuralgic character (third day),^^ — A few sharp pains 
through temples (first day),'. — Sharp pains in the temples (after four hours, 
sixth d&y),^.-^Occtpnt. A little soreness in the occipital region followed 
the shooting pain up the back (third day),''. 

Eye, — [50.] Eyeballs ache severely (sixth day),\ — Deep drawing pain 
in the eyeballs (second day),^ 

Fitce. — Face of a bluish color (fourth day),^ — Pain in the jaws, teeth, 
and head (fifth day),". 

Mouth. — Teeth and Gnms. Teeth feel as if they were being 
forced out of their sockets (fourth day),^ — Teeth and gums became very 
sore,''. — Gums and teeth are all sore (seventh day),\ — Gums sore (fourth 
day),°. — Tottgue. * Tongue coated lo/iife (third day),". — * Yellow tinge of 
tongue (ninth day),'. — [60.] * Yellow coating of tongue (tenth day),'; (eighth 
day),". — * Tongue is coated thickly, yellow (sixth and seventh days),'. — 
Tongue coated light brown (fourth day),". — Tongue red at the tip, and coated 
yellow at the base (fifth day),'. — Prickling in the end. of the tongue, which soon 
passed away (after one hour),\ — Taste. *Bitter taste in the mouth (sixth 
day),'; (eighth day),". — Bitter, coppery taste in the mouth (seventh day),'. 
— Flat, metallic, or coppery taste (ninth day),'. — Constant coppery taste in 
the mouth,'*. — Slight coppery taste in the mouth and throat (after four hours, 
fourth day),^ — [70.] Flat, bitter taste in the mouth (fifth day),' ; (third 
day),^ — Sweet and bitter taste in the mouth (fifth day),". — Sweetish, nau- 
seous taste (tenth day),'. 

Throat. — Rawness and scraping in the throat, all the afternoon and 
evening (sixth day),*. — Feeling in the fauces as if I would vomit, but no 
nausea (third day),'. 

Stoinach. — Appetite and Thirst. Appetite invigorated (fourth 
day),'. — Very little appetite (ninth day) ; little appetite (tenth day),'. — ■ 
Not so much appetite for breakfast as common (fourth day),''. — No appe- 
tite for supper, which is contrary to my usual habit (sixth day),'^ — At 1 
P.M., poor appetite for dinner (eleventh day) ; slight diminution of appe- 
tite for forty-eight hours,'^°, — [80.] *Loss of appetite,'^''. — Desire for sour 
things, which have always relieved the symptoms (tenth day),'. — *Much 
thirst (third day),*'. — Eructations and Heartburn. Eructations 
(third day),*'. — Heartburn, with acid risings (sixth day),'"'. — Nausea 
and Vomiting. *Namea (after twenty minutes, sixth day),\— Fre- 
quent spells of nausea, lasting but a moment (third day),'. — Nausea at the 
stomach (after four hours),^ — Nausea and slight vomiting of a sour watery 
fluid, intensely bitter (after four hours, fourth day),^ — Some nausea, par- 
ticularly in throat (second day) ; nausea at times (third day) ; particularly 
in throat and fauces (sixth day),'. — [90.] Felt sick at stomach (ninth 
day),'. — Qualmishness, with the loose stool (second day) ; qualmishness, 
headache, relieved by eructations (third day),*". — Stomach. Tonic effects, 



144 POLYPORUS OFFICINALIS. 

invigorated digestion (third, fourth, and fifth days),'. —Effects decidedly- 
tonic (fifth day) ; instead of being tonic as before, its effects were now 
enervating (ninth day),'. — Deep distress in the epigastrium, lasting all day, 
with dull pains in the right hypochoudrium, and sharp pains in the epi- 
gastrium ; aggravated by walking (after half an hour),'. — Dull, aching, 
burning distress in the epigastrium and whole right hypochondriura (third 
day),'. — Dull, aching distress in the epigastric and umbilical regions (third 
night),'. — Great burning distress in the region of the stomach and liver, 
extending down to the umbilicus, with urgent desire for stool ; the same 
distress after a stool ; at 10 a.m. it is very severe, with urgent desire for 
.stool; continues after a stool (fourth day),'. — The most terrible distress be- 
tween the stomach and navel, lasted all the afternoon ; could not get relief 
in any position ; accompanied by great faintness and high fever (fifth day),'. 
— Burning pain in the stomach, with dragging pain in the hypochondrium 
(first and second days),^ — [100.] Burning in the epigastrium (after four 
hours, sixth day),". — In evening, feeling as if lump in stomach (sixth day),'. 
— Coldness of stomach, followed by burning (after several hours, seventh 
day),'. — Dull aching pain in the stomach and bowels (ninth day),*. — Pain 
in the epigastrium (after four hours),'. — Pain in stomach (after four hours, 
and eighth day),*; (fourth day),^ — Pain in the stomach and liver (third 
day),*. — Pain in the stomach and bowels, almost unbearable (after four 
hours, fourth day),*. — Woke at midnight with hard, cutting pains in the 
epigastrium (second night) ; at 5 a.m., awoke with the same cutting pains 
in the epigastric region, and distress in the umbilicus, with great desire for 
stool (third morning),'. — Severe sharp cutting pains in stomach and 
bowels (sixth day),". — [110.] During the day very sharp pains in the stom- 
ach, almost constant borborygmus (seventh day),'. — Sharp, cutting, lanci- 
nating pains in the stomach (ninth day),'. 

Abdomen. — Hypochondria. Dull, heavy, aching pains in the 
region of the right lobe of the liver, after the morning stool (third day),'. 
— Dull, heavy, drawing pains in the region of the right lobe of the liver, 
extending through to the dorsal region (third day),'. — Heavy dragging 
pains in the right lobe of the liver (third night),'. — 1 p.m., have had con- 
stant and severe aching distress in the right lobe of the liver, lower part 
of the epigastrium and upper part of the umbilicus (fifth day),'. — Distress 
in the right hypochondrium and umbilicus (fifth day),'. — A full inspiration 
produces sharp, stabbing pains in the right lobe of the liver and lower 
dorsal region (fifth day),'. — Great distress in the region of the liver and 
small intestines, with the stool, at 9 A.m. (sixth day),'. — -Dull aching dis- 
tress in the right lobe of liver and umbilicus, with great desire for stool 
(sixth day),'. — [120.] Dull dragging pains in the region of the right lobe 
of the liver (seventh day),'. — Pain in the liver and stomach (third day),*. 
— Dragging pain in the hypochondrium, with burning pain in the stomach 
(first and second days),". — Dragging in the right hypochondrium (after 
four hours, sixth day),". — Dull aching pain in the liver (after ten hours, 
sixth day),". — Dragging pain in the liver (sixth day),". — Severe pain in 
the liver (sixth day),*. — Pain in the liver (eighth day),*. — Hard pain in 
the region of the spleen and left epigastric region (after three hours, fourth 
day),". — Sharp pain in the spleen, liver, and bowels (third and fifth days),". 
— [130.] Sharp pain in the region of the spleen (after four hours, sixth 
day),". — Frequent sharp pains in the spleen (after ten hours, sixth day),". 
— Umbilicus. Severe distress in the umbilical and hypogastric region, 
with great desire for stool (third day),'. — Slight uneasiness in subumbilical 



POLYPORUS OFFICINALIS. 145 

region, which gradually increased, with inclination to go to stool, having 
about an hour previously had my usual morning stool ; during the stool 
which followed, a shooting pain extended upon each side of the umbilicus, 
towards the iliac, and then seemed to extend to the floor of the pelvis, in 
a ring around the rectum ; these pains were not very severe, abated some- 
what, but did not entirely disappear after stool (third day),^ — Distress in 
the region of the umbilicus (after six hours, second day),^ — Dull pain in 
the region of the umbilicus for the last forty-eight hours (seventh day),'. — 
Severe pain in the regions of the umbilicus, transverse and descending 
colon, all day long, almost unbearable (fifth day),^ — Pain in the umbilical 
region (after four hours, and third day),°. — Sharp cutting pain in the um- 
bilicus (first day),". — Cutting pain in the umbilicus (third day),"*. — [140,] 
Stools preceded by sharp pain in the region of the umbilicus (fifth day),*. 
— Sharp pain in the umbilical and hypogastric regions (after ten hours, 
sixth day),". — General Abdomen. Rumbling in the bowels (third 
day),^ — Loud borborygmus (first day),'. — Dull aching distress in the whole 
abdomen, with loud borborygmus (third day),\ — Great rumbling in the 
bowels (seventh day),\ — Rumbling in bowel*, as from fermentation (ninth 
day),^. — Emission of fetid flatulence, in the evening (fifth day),'. — Much 
flatus in bowels, and feeling as if diarrhoea would set in (sixth day),^. — 
Emission of flatus (ninth day),^ — [150.] Burning pain in the region of 
the transverse colon (after six hours, and second day),". — Pain in the 
bowels (fourth day),". — Pain in the region of the transverse colon, and in 
the descending coh)n (third day),^ — Bowels very painful to touch (fourth 
day),'. — Pain in the bowels and stomach, almost unbearable (after four 
hours, fourth day),^ — Sharp cutting pain in the bowels before stools (fifth 
day),^ — Pain in the bowels (eighth day),^ — Dull aching pain in the bowels 
and stomach (ninth day),^— At .3 p.m., lacerating pains, here and there, 
throughout the abdomen, for about five minutes ; the pains then became 
located in the hypogastric region, and continued one hour, with slight in- 
clination to go to stool ; the pains then became easier, though they had 
not entirely passed away at tea-time ; felt again ten minutes after a stool, 
in the lower portion of the abdomen, extending to the right hypochondrium, 
at 9.40 P.M.,^". — Uneasiness of the bowels (first day),*'. — [160.] Slight 
aching uneasiness in the whole abdomen, with slight pain all night (second 
day),'». — Continued pain over the whole abdomen (third day),**. — Uneasi- 
ness in the abdomen, during the night (fourth day),*^ — Some uneasiness 
in bowels, from increased vermicular action (fourth and fifth days),'. — 
Slight uneasiness, as if I would have a stool ; this soon passed away (after 
one hour),'^*. — Slight uneasiness in the bowels after retiring (fourth night),^ 
— Twice during the day had slight pain in the bowels (^general), (third 
day),'. — Sensation as if diarrhoea would come on (fifth day),*. — Uneasiness 
of the abdomen, with looseness of the bowels (sixth day),*. — Very sudden 
and severe distress in the hypogastric region, followed by papescent stools, 
stools very light-colored (after four hours, sixth day),". — [170.] Soon after 
the chilliness felt a slight momentary pain in hypogastric region ; in a few 
minutes experienced similar pains in both hypochondria (sixth day),^^ — 
This morning have a dull aching pain over the whole lower abdomen 
(fourth day),*. — Uneasiness in the lower abdomen all day, as if diarrhoea 
would come on (fourth day),*. 

Rectum and Anus. — Pain in the anus (third day),^ — Severe pain 
in the anus (third day),". — Unpleasant sensation, not amounting to pain, 
about the anus ; not felt after 1 p.m. (third day),^ — Desire for stool, with 

TOL. VIII. — 10 



146 POLYPORUS OFFICINALIS. 

much flatulence (third day),*'. — Slight disposition to go to stool, at 10.30 
A.M., soon passed off (fifth day),^ — A disposition to go to stool, with some 
pain in the anus (after four hours),". — Disposition to go to stool (third 
day),^. — [180."| Disposition to strain when at stool (fifth day),^ 

Stool. — * Loose stool, at 6 a.m. ; soft mushy stool, mixed with mucus, at 
6 P.M., the medicine having acted as a mild cathartic in eight hours (second 
day) ; soft, mushy stool, at 5 A.M., followed by dull, heavy, aching pains in 
the region of the right lobe of the liver; after 8 p.m., stool of a dark color, 
mixed with bile and mucus, followed by a dull aching distress in the dor- 
sal region, extending up to the shoulders, on both sides (third day); at 6 
A.M., very black-colored stool, mixed with bile and mucus ; before the stool 
I voided about 1 drachm of white mucus ; after 8 a.m., stool that ran a 
stream from the bowels, of bile, mucus, and black fecal matter, followed 
by burning distress in region of stomach and liver, extending down to the 
umbilicus ; at 10 a.m., copious stool of water and black fecal matter, with 
great desire to strain after stool, followed by same symptoms as before ; it 
will be seen by this experiment that 40 grains of the Polyporus, well trit- 
urated, will act as a violent hydragogue cathartic in two hours, if it is 
taken on an empty stomach (fourth day) ; in the morning, hard, black, 
lumpy stool, mixed with bile and mucus ; at 1 p.m., soft, black, fetid, 
papescent stool, followed by the most terrible distress between the stomach 
and navel (fifth day) ; in the morning, dark papescent stool ; mushy stool 
at 9 A.M., with great distress in the region of the liver and small intestines; 
at 6 P.M., papescent stool, followed by about one teaspoonful of blood, with 
severe tenesmus (sixth day) ; soft, mushy stool (seventh day) ; papescent, 
dark-colored stool, without pain (eighth day) ; my bowels have been loose 
every day, with from one to three stools a day, without pain ; all have been 
of a dark color ; to-day ray stool is natural, and I am feeling well (thir- 
teenth day),'. — Loose stool, with qualmishness (second day) ; at 9 A.M., at 
3.30 P.M., copious fluid stool, expelled with great force, and another of the 
same character at 4 (third day); a loose, yellow stool, with pain after- 
wards, at 9 A.M. ; loose stool, with pain, at 6 p.m. (fourth day) ; bowels 
loose (fifth day) ; loose stool, with tenesmus, at 2 and 3 p.m. (sixth day) ; 
six days have elapsed since the last dose, and my bowels have not become 
regular yet (ninth day),*% — Copious, soft, mushy stool, followed by slight 
uneasiness in the umbilical region, at 3.30 p.m. (sixth day) ; scanty stool, 
at 9 A.M. (seventh day),'^ — Soft, mushy stool, unattended with pain, at 
9.30 P.M.,''=. — Soft mushy stool, at.9 p.m., similar to the one in the morning, 
but without the accompanying symptoms (third day) ; no stool at the usual 
time, but a mushy one at 9.30 a.m., preceded by the same pains in the 
lower portion of the abdomen, which immediately passed ofi^ after stool 
(fourth day); usual stool after breakfast (fifth day),'. — Slight motion 
of the bowels (fifth day),*. — Two stools, in the morning (fourth day),^— 
Stools the first part of the day dry and lumpy, but in the evening were 
quite frequent, thin, watery, and very yellow (fifth day),". — Very light- 
colored, papescent stools, followed distress in hypogastric region (after four 
hours, sixth day),''.— [190.] Soft papescent stools during the last forty- 
eight hours (seventh day),". — Copious and watery stools, accompanied with 
severe pains (fourth day),^— Stools dark, dry, and lumpy, followed with 
stools mixed with bile and mucus ; stools mixed with blood ; stools thin 
and yellow (fifth day),'.— One copious stool, at 3 p.m. (ninth day),^— The 
stools were not so black, and all contained more or less undigested food, 
and were mixed with water ; also a number contained something that had 



POLYPOKUS OFFICINALIS. 147 

the appearance of oil ; it was in drops, from the size of a common new 
cent down to small drops ; the color was clear and white ; was it oil or 
not?,'*. — Passage of dry, hard faeces (tenth day),". — * Bowels costive (ninth 
day),'' ; (eighth day),'. 

Urinary Organs. — Increased urination (ninth day),l — Frequent 
passage of high-colored urine, with pain in the region of the kidneys (third 
day),*. — *Urine diminished and high-colored (sixth day),l — [200.] * Urine 
very high-colored and scanty (fifth day),\ — Increased secretion of urine 
(sixth day),". — Increased desire to urinate (seventh day),". — Frequent de- 
sire to urinate (tenth day),'. — Frequent urination during the night (first 
night),*. — Urine acid and profuse, light-colored (fifth day),*. — Passed urine 
freely, at 10 a.m., 12 m., 2, 4, 6, and 9 p.m. ; pale, almost colorless ; desire 
to pass urine was constant (second day) ; constant desire to urinate ; passed 
urine profusely, at 10 a.m., 12 m., and 2 p.m. (third day) ; profuse urination 
(fourth day),*'. 

Sexual Organs. — Soon after getting into bed, at 10 p.m., a sharp 
pain in the glans penis, very severe,'''^ 

Chest. — Pain in the left lung (third day),". — Sharp darting pains in 
the left lung, with slight suffocating feeling, causing me to rise up in bed, 
lasting four hours (fourth day),^ — [210.] Dull aching in the left lung, ex- 
tending through the left shoulder-blade (ninth day),*". — Pain in the ribs, 
aggravated by motion (after six hours),^ 

Heart and, Pulse. — Sharp piercing pain in the region of the heart, 

, aggravated by motion (after six hours),^ — *Pulse 110, full and soft (fifth 

day),\— Pulse 100, at 6 p.m. ; 96 at 9 p.m. (sixth day),'.— Pulse from 90 

to 105 (first night),l— Pulse 90, full and wiry (ninth day),^— Pulse 100, 

full and soft (seventh day),". 

Neck and Back. — Neck. Slight drawing pains in the left side of 
the neck, after getting into bed, at 10 p.m.,'^". — A slight pain shot up the 
back of the neck, from between the shoulder-blades, followed by a little 
soreness of the occipital region, with disposition to throw the head back ; 
this soon disappeared (third day),^ — JBack. [220.] *Severe backache 
(fourth day),'. — Severe backache; back is very stiff; can hardly rise up 
after sitting down a few minutes (seventh day),'. — *Dull aching pain in the 
back and hips (third day),". — Dull pain in the back (after four hours, sixth 
day),".— Dull aching pain in the back (after ten hours, sixth day),". — 5 
P.M., back very painful and stiff (seventh day),", — Dull and aching pain in 
the back and limbs (second day),^ — Drawing pains, several times through 
the day, in the back and legs (first day),*. — Dorsdl. Rheumatic paius 
in the spine and limbs, lasting four hours (fourth day),\ — Dull aching 
distress in the dorsal region, extending up to the shoulders, on both sides, 
after a stool (third day),'. — [230.] Great aching distress in the dorsal and 
lumbar region (sixth day),'. — Lumbar. Hard aching distress in the 
lumbar region (third night),'. — Dull aching distress in the lumbar region 
(sixth day),'. — Dull pains in the lumbar region (third day),'. — Pain and 
weakness in the small of the back (sixth day),l — Dull pain in the small 
of the back (sixth day),". — Aching in the small of the back all day (fifth 
day),*^ 

Extremities. — Weakness in the arms and legs, can scarcely walk or 
stand (sixth day),". — *Severe pain in the arms and legs (sixth day),". — 
Rheumatic pains in the limbs and spine, lasting four hours (fourth day),". 
— [240.] Great aching distress in all the joints (fifth and sixth days),'. — 
Severe aching in all the large joints, with great lassitude (sixth day),'. — 



148 POLYPORUS OFFICINALIS. 

Rheumatic pains in all the joints (third day),". — Severe pain in all the 
joints of the extremities (third day),*. — 5 p.m., have hkd since noon severe 
pains in all the joints of the upper and lower extremities (seventh day),*. — 
All the symptoms began to subside except the rheumatic pains in the limbs 
and joints, they being almost unbearable (eighth day) ; rheumatic pains 
still continue (ninth day) ; pains still continue, but are light in comparison 
to what they were on the ninth da:y (twentieth day),'. — While riding in 
the country I felt a sharp pain, for about a minute, exactly where the 
pulse is in the right wrist, and seeming to extend along the course of the 
artery, for about two inches above the joint ; the pain was quite severe and 
very sudden in coming on ; about like a shock from a galvanic battery 
(after half an hour) ; soon after, while still riding, I felt a similar pain 
for about half a miuute, in the right shoulder, seeming to be in the joint, 
and thence outward to the deltoid muscle ; at 2 p.m., while writing, felt a 
pain precisely like that experienced in the wrist just above the elbow-joint, 
and external to the tendon of the biceps muscle; lasted but a moment; in 
a few seconds felt a similar pain in the left knee, on the internal side; at 

9 P.M., felt the same pain in the inner border of the right foot, then in the 
right arm, and then in the left side of the neck (first day),''". 

Sujterior Extremities. — Pains in the arms and hands (sixth 
day),". — Slight drawing in the right upper arm, after getting into bed, at 

10 P.M.,^ 

Inferior Extremities. — Drawing pains, several times through the 
day, in the legs and back (first day),*. — [250.] Aching in thighs and bend 
of knees (seventh day),*. — Sharp lancinating pain in the hip-joint (third 
day),".— Dull aching pain in the hips and back (third day),*. — Rheumatic 
pains in the shin bones, which causes the most excruciating pain in walk- 
ing (eighth day),*. — *Pain in the knees and ankles, aggravated by motion 
(after six hours),*. — Feet and ankle very painful for the last forty-eight 
hours (seventh day),*. 

Generalities. — Great faintness accompanied the distress between 
the stomach and navel (fifth .day),^ — * Very ^veak and languid (third day),'. 
— * Feeling greatly prostrated ; can hardly stand up, my knees are so weak 
(fourth day),'. — *So languid I can hardly walk (fifth day),'. — [260.] * Very 
languid (sixth day),'. — ^Excessively weak (sixth day),'. — Had to retire at 
dark, was so weak (sixth day),'. — * Cheat lassitude with the severe aching in 
all the large joints (sixth day),'. — *Feel weak and depressed, and indisposed 
to any exertion, physical or mental (sixth day),"". — General indefinable feel- 
ing of malaise, which lasted all day,'°. — * Very languid and weak (second 
and ninth days),". — *Feel very languid and uneasy (fifth day),*. — *Great 
debility at times (ninth day),". — *Feel weak and languid (eighth day),". — 
[270.] At times shuddering ; rather nervous than from real chilliness- 
(ninth day),". — * Aching in all the joints in the body and limbs {second day),". 
— Rheumatic and neuralgic pains, some of the time very severe (seventh 
day),". — 9 p.m., had the symptoms all day, but since 2 p.m., they have been 
getting easier (fourth day),'. 

Skin. — Itching over the whole body, most violent between the scapulae 
and on the forearms (first day),**. 

Sleep. — Disposition to yawn and stretch, with frequent chilliness along 
the spine, and hot flashes of -feVer (sixth day),'. — ^Disposition to yawn and 
stretch, ivith chilliness (second day),". — * Disposition to yawn and stretch 
(third day),". — *Restless night (third and sixth nights),'. — Restless and un- 
easy during the night (first night),".— [280.] *Sleep is disturbed by dreams, 



J 



POLYPORUS PINICOLA. 149 

very restless and uneasy all night (second night),". — Frightful dreams of the 
water,'". — Dream much at night (fifth day),*. 

Fever, — Chilliness. * Unusual chilliness when the open air is en- 
countered with icy coldness of the nose; whether this last symptom was occa- 
sioned by the medicine or not, I cannot say, but I did not experience it 
before, even during the extreme cold weather of this winter (seventh day), I 
— ^Chilliness, with disposition to yawn and stretch (second day),^ — *Chilli- 
ness and coldness over the whole body, lasting four hours (fourth day),^ — 
*Chills creeping along the spine, intermingled with hot flashes (after four 
hours),". — Severe chills, lasted two hours, followed by fever and profuse 
perspiration (sixth day),^ — Chills between the shoulders (ninth day),". — 
Frequent chilliness along the spine, and hot flashes of fever, with disposi- 
tion to yawn and stretch (sixth day),'. — [290.] While sitting in a warm 
room by a fire reading, I felt slight chilliness creep up the back to nape of 
the neck, most noticeable between the shoulder-blades ; this was succeeded 
by a general feeling of chilliness, lasting for several minutes ; for the mo- 
ment it did not seem that this was the efl^ect of the drug ; I imagined the 
room was getting too cool, aud rose to stir the fire, when the truth occurred 
to me : I mention this to show that this symptom was no imaginary one, 
caused by any expectation of such an effect (after one hour, sixth day) ; 
chilliness between the shoulder-blades (three hours later),'"". — Coldness 
amounting almost to chills (third day),". — Coldness of nose (ninth day),\ 
— Feet and hands cold (fourth day),". — Heat. High fever accompanied 
the distress between the stomach and navel (fifth day),'. — Constant fever 
(sixth day) ; fever lasted all night (sixth night),'. — Fever and chilliness 
all night (first night),". — Stools accompanied with fever (fifth day),". — At 
1 A.M., woke with fever (ninth day),". — *Skin extremely hot and dry (sev- 
enth day),". — [300.] Face hot and flushed (sixth day),' ; (second day)," ". 
— Hands and feet hot and dry (first night),". — Palms of the hands hot and 
dry (second day),". — Hands hot and dry (third day),'. — Sweat. Awoke 
at midnight in a profuse perspiration, notwithstanding it was a cold rainy 
night (second night),'. — Sweat profusely all night (seventh night),'. _ 

Conditions, — Aggravation. — (Morning), Awoke with pain in head ; 
aching pain over lower abdomen. — {Evening), 9.40 p.m., pain in right tem- 
ple; emission of fetid flatus; 10 P.M., pain in glans penis; pain in left 
side of neck ; drawing in right upper arm. — (Night), Headache ; uneasi- 
ness in abdomen; fever and chills; at midnight, sweat. — (Open air), Chilli- 
ness. — (Full inspiration). Pains in right lobe of liver. — (Motion), Head- 
ache ; pain in forehead ; pain in ribs ; pain in region of heart. — (After 
morning stool), Pain in region of right lobe of liver. — (After stool). Distress 
in dorsal region. — (Walking), YrontSiY headache; pain in epigastrium; pain 
in knees and ankles. 

Amelioration. — (Eructations), Headache ; qualmishness. — (Sour 
things), The symptoms. 



POLYPORUS PINICOLA. 

Polyporus pinicola, Fries. 

Natural order. Fungi. 

Common name. Pine agaric. 

Preparation, Tincture of the fresh plant. 

Authorities. 1, Dr. Burt, Am. Horn. Obs., 1868, p. 268, took ^ ounce of 



150 POLYPOEUS PINICOLA. 

2d dec. dil. first and third days ; 1 ounce, fourth day ; 20 drops tincture, 
fifth day; ^ a draclim, naorning, andlj drachms at 3 p.m., and half of the 
extract of 1^ ounce, sixth day; the other half of extract and half an ounce 
of tincture, seventh" day ; 1 a, same, 100 drops 2d dee. dil., first, second, and 
third days; 50 drops of 1st dil., fourth day; 100 drops, fifth day; 150 
drops, sixth day ; 1 b, same, subsequent proving, 50 drops of tincture, first 
day ; 100 drops, second day ; 200 drops morning and ^ ounce evening, 
third day; 2, R. Fuller, Hahn. Month., 1870, p. 68, eflfects in a woman of 
taking three times a da)' a preparation of 1 or 2 ounces of the fungus in a 
pint of whisky; 3, same, experiment on self, took 30 drops of tincture 
first day, 40 drops, second day. 

Mind.^Grea.t despondency, with the pains, for ten days,'. — Spells of 
great depression of spirits (eleventh day),'\ — Very gloomy all day (second 
day),K 

Head. — For two hours after the third dose had severe congestion of 
the head and face ; vertigo when walking ; face greatly flushed, with a 
prickling sensation all over it (sixth day),\ — Vertigo when walking (sev- 
enth day),'. — Light feeling of the head, with dull pains in it (fifth and 
sixth days),'^ — Light feeling of the head, with dull pains in the forehead ; 
worse on moving (third day),''. — All day have had a fulness of the head, 
with a hot feeling in the face and eyes (fourth and fifth days),'. — Fulness 
of the head, with face hot and flushed (after second dose, sixth day),'. — 
[10.] *IIead ached (after one hour),'. — 9 p.m., dull headache, with frequent 
eructations of sour air (first and second days),'^ — Dull headache (after one 
hour),'. — Heavy, dull headache,^ — Severe headache all day, aggravated 
by reading or walking (third day),''. — Severe headache and soreness over 
the eyes (after two hours, second day),'. — Forehead and Temples. 
Dull frontal headache (half an hour after doses, third day),"". — *Deep 
frontal headache (fourth day),"". — Severe frontal headache, while in bed 
(sixth morning),'. — Frequent neuralgic pains in the temples (third day),' ; 
(second day),'\ — [20.] Neuralgic pains in the temples (fifth day),'. — For 
four hours had frequent sharp pains in the temples, with dull frontal head- 
ache (after one hour),'^ — Frequent cutting pains in the temple, in the after- 
noon (first, fifth, and sixth days),'*. 

Eye. — Smarting of the eyes (after one hour),'. — For two hours smart- 
ing of the eyes (third day),'. — Severe smarting of the eyes (sixth morn- 
ing),'. — Eyes smart constantly (after third dose, sixth day),'. — Eyelids 
agglutinated (sixth and seventh mornings),'. — Dull pains in the eyeballs 
(third day),'^ 

JVbse. — For the last four days the nostrils are constantly filled with a 
thick yellow mucus (eleventh day),'. 

Face. — [30.] Face congested (seventh day),'.^ — Severe aching distress in 
the right malar bone, with neuralgic pains in the temple (after one hour),'. 

Btouth. — Tongue. Tongue coated white, in the morning (seventh 
day),'. — *Tongue coated white (eighth day),'; (third day),". — *Tongue 
coated yellow (fourth, fifth, and sixth days),'" ; (second, fourth, and eleverith 
days),'^ — Tongue coated thickly yellow (third day),'\ — Taste. Sweeet, 
flat taste (eighth day),'; (fifth and sixth days),''. — Sweet, flat taste in the 
mouth, in the morning (seventh day),'. — Flat, rough taste in the mouth 
(fifth day),'. — Slimy, coppery taste in mouth (second and third days),". — 
[40.] Bitter taste (fourth day),"-.— Flat, bitter taste (eleventh day),'\ 

Throat. — Throat troubled me greatly all night (seventh night),'.— 
Throat feeling very sore, with dryness of the fauces and frequent inclina- 



POLYPORUS PINICOLA. 151 

tion to swallow (ninth day),\ — Very sore throat, with frequent inclination 
to swallow (after second dose, third day),'\ — Tonsils. Tonsils are con- 
gested ; frequent efforts to swallow, that are quite painful, in the morning 
(seventh day),\ — Tonsils congested slightly (eighth day),'. — Tonsils and 
fauces feeling very sore and stiff, with great dryness and frequent inclina- 
tion to swallow, for two hours in the morning, and then in the evening 
(tenth day),'. — Tonsils very much congested and enlarged ; the soft palate 
and fauces are also greatly congested (eleventh day),'. — Fauces. Great 
dryness of the fauces, lasting all day, with constant inclination to swallow 
(after one hour),'. — [50.] Great dryness of the fauces, for the first half 
hour, in the morning, then all passed away (second day),'. — Great dryness 
of the fauces (after third dose, sixth day),'. — Pressing distress in the fauces 
(after second dose, sixth day),'. — Distress in the fauces, with frequent in- 
clination to swallow (after third dose, sixth day),'. — Deglutition quite pain- 
ful (eleventh day),'. 

Stomach. — Appetite. Could eat no supper (second day),^ — Eruc- 
tations. Frequent eructations of sour air, with dull headache, at 9 p.m. 
(first and second days),'^ — Wansea. *Constant nausea for the first half 
hour (after second dose, sixth day),'. — Sickness at the stomach (second 
day),". — Stomach. Burning in the stomach, with a dragging sensation 
in the right hypochondrium (first, second, fifth, and sixth days),'". — [60.] 
Burning distress in the epigastrium, with dragging pains in the right hyp- 
ochondrium (first and second days),'\ — Distress in epigastrium (fifth day, and 
after first dose, sixth day),'. — Frequent pains in the epigastrium, with rum- 
bling in the bowels (after second dose, sixth day),'. — By spells great distress 
in the epigastrium (after third dose, sixth day),'. — Dull, aching distress in 
the epigastrium, in the morning (seventh day),'. — There is a constant very 
severe distress in the lower part of the epigastrium that produces great faint- 
ness ; if I press on it or walk, it is greatly aggravated. This awful distress 
lasted until noon, when it became quite easy (eighth day),'. — Severe pains 
in the epigastrium all the morning (eleventh day),'. 

Abdomen. — Hypochondria. Dull pains in the right hypochon- 
drium (fourth and fifth days),' ; (fourth day),'^ — Dragging sensdition in 
the right hypochondrium, with burning in the stomach (first, second, 
fifth, and sixth days),'^ — Dragging pain in the liver followed stool (fifth 
day),'*, — -[70.] Dragging pain in the right hypochondrium, with burning 
distress in the epigastrium (first and second days),".— Frequent drawing 
pains in the right hypochondrium (first day),' ; (first, second, fifth, and 
sixth days),'*. — Drawing pains in the right hypochondrium (after second 
dose, sixth day),'. — Dull, drawing pains in the liver (first and second 
days),''. — The aching distress in the liver was much more severe ; extended 
over the whole dorsal region (second day),"". — Dull, heavy, drawing, ach- 
ing pains in the whole liver and spleen (third day),'^ — Burning, aching 
pains in the liver (fourth day),'b. — Walking produces sharp pains in the 
liver (after second dose, third day),"". — Severe pulling pains in the liver 
follow stool (first and second days),"'. — Severe drawing pains in the left 
hypochondrium (fifth day),'. — [80.] Hard, drawing pains in the region of 
tlie spleen and left epigastrium, all day (fourth day),''. — All the forenoon 
have had frequent drawing pains in the region of the spleen (first, second, 
fifth, and sixth days),'^ — Frequent sharp pains in the region of the spleen 
(first and second days),"". — Frequent sharp pains in the region of the spleen 
(third day),''. — Sharp pains in the region of the spleen (fourth and fifth 
days),'. — jjinbilicus. Distress in the umbilicus, with frequent drawing 



152 POLYPORUS PINICOLA. 

pains in the same region (first day),'*. — Frequent pain and distress in the 
umbilical and hypochondriac regions, all day (third day),'.- — Sharp colicky 
pains iu the umbilical and hypogastric regions, all the evening, every five 
minutes (first and second days),'^ — General Abdomen, Frequent 
dull rumbling in the bowels (fourth and fifth days),'. — Distress in the 
small intestines (after one hour),'. — [90.] Frequent dull pains in the 
bowels, all the afternoon (first day),'. — Dull pains in the bowels (after first 
dose, sixth day),'. — Following stool, dull pains in bowels, aggravated by 
walking, with distress in the liver (seventh day),'. — Slight distress in 
bowels (seventh evening),'. — Frequent pains in bowels (eighth, ninth, and 
tenth days),'. — Several times had a feeling as if the small intestines were 
being tied in knots (first day),'". — Occasional sharp pains in the bowels 
(third day),'". — Frequent cutting pains in the bowels (first, second, fifth, 
and sixth day),'^ — Slight pains in the bowels (fifth and sixth days),''. — 
Frequent drawing pains in the abdomen (first and second days),"". — [100.] 
Rheumatic pains in bowels (eleventh day),'!". — Hypoffastrium. Very 
suddenly had severe distress in the hypogastric region, with great desire for 
stool (first day) ; same distress at 7 A.m. (second day),"*. — At 9 a.m. distress 
in the hypogastric region, for ten minutes, followed by stool, first part dry 
and lumpy, last part mushy (seventh day),'. — Five or six hard distress- 
ing pains in the hypogastrium, followed by a hard, dry, lumpy stool (after 
third dose, sixth day),'. — For the first three hours had hard, sickening pains 
in the hypogastric regions ; then remained quite easy for two hours, when 
those hard pains came on again every few minutes ; the pains would last 
from five to ten minutes at a time, and produce great faintness (seventh 
day),'. — Drawing pains in the right groin (after one hour),'. 

Stool, — Loose stool at 8 p.m. (after nine hours, third day) ; loose stool 
(fourth day),'. — Hard, lumpy stool (fifth day),'. — Hard, dry, lumpy stool 
(after third dose, sixth day),'. — Stool, first part dry and lumpy, last part 
mushy, followed the distress in the hypogastric region (seventh day),'. — 
[110.] Stool that ran from my bowels a stream of a deep yellow color ; the 
last part -was frothy and mixed with bile (after six hours, seventh day),'. — 
No stool (eighth day),'. — Stool at 8 a.m., first part natural, last part mushy 
and exceedingly yellow (ninth day),'. — No stool (third day) ; lumpy stool 
at 7 A.M. (fourth day) ; stool, first part dry and lumpy, last part mushy, 
very yellow, and mixed with bile (fifth day) ; no stool (sixth day) ; hard, 
lumpy stool, mixed with mucus and bile (seventh day) ; was costive for 
three days,'^ — Light-colored papescent stool (first and second days),"". — 
Papescent, light-colored stool, with great relief of all the pains, at 7 a.m. ; 
profuse papescent stool at noon (second day),'''. — Soft papescent, very light- 
colored stool (fourth day),'^ — *Bowels have been very costive ; stools of a 
dark color, and in hard, dry lumps (tenth day),'^ — The stools are so hard 
that it has brought on a slight attack of piles, which pain me all the time, 
with slight prolapsus ani (eleventh day),"'. 

Urinary Organs.— JJr'me scanty and high-colored, for the last two 
days (ninth day),'. 

Respiratory Organs. — [120.] Pressing sensation in larynx, with 
dryness of fauces (after ten minutes),'. 

Heart and, IPulse. — Burning distress in the prsecordial region (first 
day),'^ — A full inspiration produces sharp pains in the region of the heart 
(first day),'a. — Pulse 84, soft and feeble (after second dose, sixth day),'. 

Back. — Back very stiff (fourth day),". — *Back ached all day (third 
day),". — Dull aching pains in the back and hips (third day),'". — Felt very 



POLYPORUS PINICOLA. 153 

badly, with aching and sore sensations along the spinal column (after two 
hours, second day),'. — *Pain in the back,^ — Dull, aching pains in the dorsal 
and lumbar regions (third day),'^ — [130.] Dull backache (first and second 
days),'^ — Dull pains in the small of the back (first and second days),"". — 
Dull pains in the lumbar region (after third dose, sixth day),\ — Dull pains 
in lumbar and dorsal regions (seventh day),^ — Violent, dull, aching dis- 
tress in the lumbar region, all day (eighth day),'. 

JExtTemities. — Fingers, knees, ankles, and feet have constant rheumatic 
pains in them of a drawing, aching character (after third dose, sixth day),\ 
— Severe stitching drawing pains in the elbows, fingers, knees, ankles, and 
toes (after second dose, sixth day),\ — Had such severe pains in the wrists 
and left knee that I could not sleep (seventh night),'. — Severe drawing 
pains in the elbows, wrists, fingers, knees, ankles, feet, and toes (third day),"". 
— All day have had drawing pains in the wrists, knees, ankles, and feet, with 
deep, dull, aching pains in the tibial bones (fourth day),'^ — [140.] Draw- 
ing pains in the wrist and left knee and ankle-joint ; walking makes the 
pain in the ankle of a sharp cutting character (first day),'°. 

Superior Extremities. — Drawing pains in the left forearm and 
fingers, all the afternoon (first and second days),"". — Severe drawing pains 
in the elbows and flexor muscles of both arms (fourth and fifth days),'. — 
Wrists ached all day (third day),'*. — Dull pains in the wrists (third day),'*. 
— Fingers ache and are quite stiff (fourth an'd fifth days),'. — Fingers feel 
quite stiff, with firequent stitching pains in the joints (fourth and fifth 
days),'. — Stiffness of the fingers, with sharp pains in them when closing 
them (fifth day),'. — Fingers stiff (second and seventh days) ; quite stiff 
(sixth day),'. — Fingers are very stiff (after second dose, third day ),'*'- 

Inferior Extremities. — [150.] Hips ached all day (third day),'^ — 
Severe drawing pains in the inside of the right thigh (after second dose, 
sixth day),'. — Dull' drawing pain in the knees and ankles (second day),'"". 
— Hard, drawing pains in the knees and ankles all night, which made me 
very restless (second night),'^ — Sharp pains in the right tibia (after one 
hour),\ — Great weakness and pain in my ankles and feet (third day),'. — 
Dull pains in the ankles (seventh day),'. — Ankles and feet ached severely 
(first day),'. — Aching distress in the ankles, feet, and toes, with sharp pains 
in the toes (fourth and fifth days),'. — My ankles, feet, and toes ache and 
pain me so severely I cannot walk without great difficulty (third day),"". — 
[160.] The soles of my feet and heels feel as if they had been pounded ; 
cannot bear to have my boots on (third day),">. — My feet are feeling as if 
they had been pounded (fourth day),'\ 

Generalities. — *Felt weary (after one hour),'. — *Very languid 
(seventh evening),'; (fifth and sixth days),'" ; (third day),'''. — Languid all 
day (second day),'. — *Great lassitude (fourth and fifth days, after third 
dose, sixth day, ninth and eleventh days),'. — Great lassitude; could with 
diflBculty get about (third day) ; great lassitude (fourth day),'. — Very lan- 
guid all day yesterday and this morning (eleventh day),'. — Peculiar sen- 
sation as though I would like to get away out of sight and lie down (after 
one hour),'. — Felt somewhat sore and lame, in the morning (second day),'. 
■ — [170.] Felt as if I had had a spell of sickness (third day),'. — Rheumatic 
pains in every part of the body, excepting the back (after second dose, 
sixth day),'. — Those rheumatic symptoms have all continued since the 
fourth day ; the last three days it has rained most of the time ; the damp- 
ness of the air has aggravated the symptoms most wonderfully, especially 
nights ; pains in shin-bones, very hard to endure (eleventh day) ; rheumatic 



154 POPULUS— POTHOS. 

symptoms lasted eight weeks,"". — All the pains aggravated by motion (third 
day),'^ — For ten days, every day about 10 a.m., my head would commence 
to ache, with severe aching pains in the back, but more especially in the 
legs ; would gradually increase until 3 p.m., when the pains in the legs were 
so severe I had to lie down to get relief; with this there was great despond- 
ency and weaknesss ; from 3 p.m. to 6 p.m. it would gradually pass away, 
and all the evening I would feel perfectly well. The effects in the legs did 
not entirely leave until four weeks subsequent to taking the medicine,'. 

jS?ee^.— Disposition to yawn and stretch (third day),'^ — Sleepy all the 
evening (sixth day),'. — Slept good until 3 a.m. ; very restless after that 
(second night),'*. — Had a restless night, my ankles and feet pained me so 
severely (third night),". — Sleep disturbed and restless (second day),'. — 
[180.] *Restless night (seventh night),'. 

Fever, — ^Paroxysms of chilliness, and cold, shivering sensations, fol- 
lowed by feverishness (which was reduced by hot baths and Aconite*), 
(after two hours, second day),^ — Chills and a shivering sensation,^ — Feel 
very cold (third day),''. — Face hot and flushed (second day),''. — Hands 
hot and dry (fourth day),". — Palms of the hands hot and dry (second day),". 
— Slight perspiration (first and second nights),'. 

Conditions. — Aggravation. — (Morning), In bed, frontal headache; 
tougue coated white ; sweet, flat taste ; tonsils congested ; dryness of fauces; 
distress in epigastrium. — (Forenoon), Pains in region of spleen ; 10 A.M. to 
3 P.M. the symptoms. — (Afternoon), Pain in temples; pain in left forearm 
and fingers. — (Evening), 9 p.m., dull headache ; tonsils congested ; eructa- 
tions of sour air ; pains in umbilical region. — (Dampness), Rheumatic 
symptoms. — (Full inspiration). Pain in region of heart. — (Motion), Light 
feeling in head ; pain in forehead ; pains. — (Pressure on epigastrium). Dis- 
tress. — (Reading), Headache. — (After stool), Pains in liver; pains in 
bowels. — ( Walking), Pains in liver ; pains in bowels; cutting pain, in ankle. 



POPULUS. 

Populus tremuloides, Michx. 

Natural order, Salicaceae. 

Common name, Aspen poplar. 

Preparation, Tincture of the inner bark. 

Authorities. 1, Dr. Paine, " Concentrated Medicine," p. 85 (Dr. Hale, N. 
Am. J. of Horn., 1867, p. 391), effects of doses of 5 to 10 grains of " Pop- 
ulin " in a healthy person ; 1 a, ibid., effects of 40 to 50 grains. 

General nervous excitement,'^ — Slight fulness aboutthe head,". — Nausea, 
vomiting, and slight purging of bilious matter, with fierce, burning sensa- 
tion in the stomach,". — Warm, pungent sensation in the stomach, followed 
by a glow of heat on the entire surface,'. — Very copious discharge of urine, 
and ^irritation of the bladder and urethra,^". — Copious discharges of urine,'. 



POTHOS. 

Symplocarpus foetidus, Salisb. (Ictodes fcetidus, Bigelow; Pothos foetidus). 
Natural order, Aracese. 
Common name, Skunk-cabbage. 
Preparation, Tincture of the root. 



POTHOS— PEINOS. 155 

Authorities. 1, Bigelow, Amer. Med. Botany, 2, 48 (1818), effects of 30 
grams of dried root ; 2, Symptoms from Jahr's New Manual or Sympto- 
men Codex. 

Head. — Vertigo,\ — Headache,'. — Headache here and there, of short 
duration,'''. — Drawing from both sides of the forehead to the glabella, very 
violent in the region of the latter, as if drawn by a magnet,^ 

JEye. — Temporary blindness,'. 

Nose. — Violent sneezing, inducing a pain in the fauces, palate, phar- 
ynx, down to the stomach, and long-lasting after-pains in the region of the 
orifice of the stomach,^ — The nose above the nasal bones is swollen and 
red, forming a saddle, painful when touched, particularly high up on the 
left side of the nose, the cartilaginous portion being cold and bloodless, with 
red spots on the cheeks resembling small pimples,'. 

3l6uth, — Numb feeling in the tongue ; inability to carry it to the 
teeth ; red and sore on the edges and at the tip,^ 

Throat. — Burning from the fauces down through the chest,l— [10.] 
Swelling of the cervical and submaxillary glands,^ 

Stomach. — Vomiting,'.— Pain in the pit of the stomach on stepping 
firmly, as if something were breaking off,^ 

Abdomen. — Sensation in walking as if the bowels were shakiug,^ 

Stool.— Soft stool,^ 

Sexual Organs. — Painful voluptuous titillation around the corona 
glandis,^ 

Respiratory Organs. — Disposition to take deep breath, with hol- 
lowness of the chest, afterwards with contraction of the chest and throat,^ 

Chest. — Pain in the chest, with pain under the shoulders, which seems 
to be in connection with burning in the pharynx,'. — Aching pain on the 
stern um,^ 

Inferior Extremities. — Bone-pain in the right border of the 
tibia,^ 

Generalities. — [20.] *Sudden feeling of anguish, with oppression of 
breathing and sweat, after which he has an evacuation from the bowels, 
with relief of all the symptoms,^ 



PEINOS. 

Prinos verticillatus, Linn. 

Natural order, Aquifoliacese. 

Common name, Black Alder. 

Authority. Boston Med. and Surg. Journ., 1833, vol. 9, p. 383, effects 
of swallowing twenty to twenty -five berries. 

A sensation of acrimony was left in the fauCes, which was much like 
that produced by some of the active deobstruents (after half an hour). — ■ 
In about half an hour began to have a feeling as if something was going 
on in the stomach different from what had been going on there, and sen- 
sations all over like those which attend nausea. Still the feeling at the 
stomach was not that of proper nausea, but I thought it would produce 
vomiting. Sensation as of a strong cathartic operating followed. Notwith- 
standing this, appetite not diminished, and I ate a hearty dinner at fifteen 
minutes past one o'clock. — Inclination to evacuate the bowels at two, but 
on going out, the act of walking seemed to excite sympathetic action of the 
muscles concerned in the act of vomiting, and the stomach was evacuated. 



156 PRUNUS PADUS. 

A little bile was thrown up. Had a natural stool immediately after. Felt 
now free from disagreeable sensations. In half an hour had a most profuse 
evacuation of the bowels, consisting of their natural contents, diluted with 
an immense quantity of greenish liquid. This was attended with no pain 
or uneasiness. In about an hour and a half had another similar evacua- 
tion, but less in quantity. After this I felt remarkably well, but as though 
I had lost, as probably I really had, ten or twelve pounds in weight — 
Appetite and digestion much better than usual after this. 



PROPYLAMINUM. 

See Trimethylaminum. 

PRUNUS PADUS. 

Prunus padus, L. (P. racemosa, Lam.; Padus vulgaris, Borkh. ; Cerasus 
padus, D. C). 

Natural order, Rosacese. 

Common names, Trauben-Kirsche, Faulbaum, Ahl-Kirsche. 

Preparation, Tincture of leaves and bark of small twigs, collected when 
in blossom. 

Authority. Lembke, All. Horn. Zeit, 45, 376. 1, proving with doses of 
25 to 70 drops of the tincture ; 1 a, with 15 to 60 drops of 1st dec. dil. 

Head. — Dulness of the head, with dull pressure in the forehead, lasting 
two or three hours (almost immediately after 15 drops),'". — Head heavy 
and confused,\ — A momentary sensation as if the head would sink to the 
right side,^ — Pressive pain in various places in the head, lasting several 
hours,'. — Pressure at the base of the brain (one hour after 40 drops),'*. — 
Forehead and Temples. Heaviness in the forehead,'". — Pressure in 
the forehead, with external heat,'. — Dull pressure in the forehead,'". — Pres- 
sure in the left temple,'. — Occiput and External Head. [10.] 
Heaviness of the occiput, and dull pain extending transversely through 
the occiput (one hour after 25 drops),'. — Prickling feeling in the skin of 
the left temple, extending over and behind the left ear,'*. 

Eye. — Pupils dilated,'; (half an hour after 50 drops),'\ — Pupils very 
much dilated,'". 

^ose. — A pulsating feeling beneath the skin at the root of the nose ; 
at this point a circumscribed tremulous motion was seen and felt, that even 
persisted after hard pressure with the finger, aggravated by stooping ; this 
trembling continued almost without interruption for an hour, and gradu- 
ally disappeared,'. 

Throat. — Feeling of soreness in the throat, with frequent swallowing 
of saliva,'"- 

Stomach, — Some nausea,'". 

Abdomen, — Drawing pain in the hypochondriac and umbilical re- 
gions, aggravated by pressure,'". — Abdomen greatly distended by gas,'". 

Rectnm. — Sticking in the rectum while sitting and walking,'". — [20.] 
Repeated sticking in the rectum, lasting nearly the whole day,'". — Some 
stitches in the rectum (one hour after 50 drops),'". — Stitches in the rec- 
tum,'". 

Urinary Organs.— Frotme bright-yellow urine,'. 



PRUNUS SPINOSA. 167 

Hespiratory Organs. — Some dull stitches in the larynx, compel- 
ling to swallow/. 

Chest. — Pressure behind the sternum, with difficult respiration,^ — 
Pressure behind the lower portion of the sternum, as if something heavy 
were lying upon it, making respiration difficult, without relief on deep 
respiration ; worse while walking than while sitting (one hour after 60 
drops),'". — A peculiar sensation of oppression behind the sternum makes 
respiration difficult; the sense of oppression is less while walking than while 
sitting,'^ — Painless sensation of oppression, like a pressure behind the ster- 
num, that makes respiration difficult, and lasts two hours, both while sitting 
and walking, with slow pulse,'. — Some sudden violent stitches beneath the 
right ribs,'. 

Heart and Pulse. — [30.] Oppression of the heart while standing,'. — 
Every beat of the heart is felt in the chest while sitting,'". — Some 
tumultuous beats of the heart, that are felt up in the neck and actually 
shake the head, while sitting (one hour and a half after 60 drops),'". — 
Some violent irregular beatings of the heart while sitting (one hour after 
20 drops),'". — Some irregular beats of the heart,'. — Slow pulse,'. — Pulse 
slow and small,'*. — Pulse very small and slow (soon after 40 drops),'". 

Superior Extremities. — Weakness in the elbow-joints,'"- 

Generalities.—^&asaXwn of general weakness,'; (after one hour),'*. — 
[40.] Sensation of weakness extending from the side of the neck into the 
right arm, soon followed by a similar sensation in the left side,'. 

Fever. — Frequent sensation of coldness in the back,'. — Heat deep in 
the small of the back,'" 

Conditions. — Aggravation. — {Pressure), Pain in hypochondriac and 
umbilical region. — ( While sitting), Irregular beating of the heart.— (iStanc?- 
ing). Oppression of chest. — (Stooping), Trembling beneath skin at root of 
nose. — ( Walking), Pressure behind sternum. 

Amelioration. — {Walking), Oppression behind sternum. 



PRUNUS SPINOSA. 

Prunus spinosa, Linn. 

Natural order, Rosacese. 

Common names (German), Schlehdorn, Schwarzdorn ; (French), E2:>ine 
noire, Prunellier. 

Preparation, Tincture of the buds just before flowering. 

Authorities. 1, Wahle, Archiv. f. Horn., 14, 3, 169; 2, Kretzchmar, A. 
H. Z., 1, 24, effects of large doses of the infusion. 

Mind. — .Joyous mood (curative action),'. — Joyless mood, satisfaction 
with nothing,'. — Morose and fretful,'. — (He goes again to his business with 
contentment),'. 

Mead. — Dizziness and obscuration in the forehead,'. — He reeled and 
staggered back and forth,'. — Head heavy and dizzy,'. — Heaviness of the 
head,'. — *A pressing-asunder headache, so violent that he almost lost his rea- 
son,^. — [10.] Pressive pain in the head, like that caused by great heat of the 
sun,'. — * Pressive pain beneath the skull, as if the skull would depressed outward 
by a sharp plug,^. — Sensation as if the brain were compressed from all sides, 
but without ^@i.m,^.— Forehead. *A sharp pain beginning in the right 
side of the forehead, shooting like lightning through the brain and com- 
ing out at the occiput,'. — A pressing-outward pain in the forehead, that 



158 PRUNUS SPINOSA. 

takes away his senses,'. — Pressive pain extending from the right frontal bone 
through the brain into the occiput,'. — Pressure from within outward i-n the 
forehead,'. — A pressing outward beneath the left frontal bone,'. — A forcing- 
out pain in the forehead,'. — Pain in the right side of the forehead, pressing 
from within outward (after eating),'. — [20.] Pressing-outward pain in the 
left frontal eminence,'. — Pressive sore pain in the forepart of the head, 
disappearing as soon as he thinks intently about it,'. — '* Painful jerks in the 
forehead shoot backward,^. — TcfU^jleS. *Pain pressing from within outward 
beneath the upper part of the right temporal bone}. — *Fain pressing from 
within outward, extending from beneath the right temporal bone to the frontal 
bone, aggravated by external pressure,^. — * Very acute nervous pain in the 
upjoer part of the right temporal bone, aggravated by external pressure}.— 

* Twinging pain in the right temporal bone, extending into the ear and caus- 
ing a kind of earache}. — * Twinging pain in the right temporal bone, extend- 
ing outward}. — Vertex and Parietals. '* Pressive pain in the right 
side of the top of the head, as if a sharp corner were pressing against it}. — 
*A jerking-sticking pain at the posterior portion of the left parietal bone}. — 
[30,] *A painful jerking thrust through the right hemisphere of the brain on 
motion}. — Occiput. A violent nervous pain in the left side of the occi- 
put, that took away his thoughts,'. — Pressive pain from within outwards 
in the occiput,'. — Pressing outward in the left side of the occipital bone,'. 
— A pressive sore pain in the left side of the occiput, extending forward 
and into some teeth of the same side,'. — Pressive pain from within outward 
in the left side of the occipital bone (after half an hour),'. — Pain in the 
occiput so violent on stooping that his thoughts vanished,'. — External 
Head. Sticking, as with a needle, in the scalp, on the occiput,'. 

Eye. — She was not weary, and yet her eyes closed,'. — Itching in the 
right outer cauthus, especially on the margins of the lids,'. — [40.] Itching 
in the left inner canthus,'. — *Pain in the right eyeball, as if the inner 
portion of the eye would be torn out,'. 

Eiir. — Twinging in the left ear,'. — *A pressing- asunder pain in the 
right ear, like earache}. 

JVbse. — Irritation to sneeze and frequent sneezing,'. — A tickling, as if 
he would sneeze, in the middle of the right nostril,'. — A pressing-asunder 
pain above the nasal bones,'. 

Face. — Itching sticking on the upper portion of the malar bone,'. 

Jilouth. — Teeth. '^Toothache, as if the tooth icould be raised; the pain 
also shoots from one tooth to another}. — Toothache, as if one had cold water 
in the mouth,'. — [50.] * Wrenching pain in several back teeth whenever any- 
thing warm is taken into the moidh}. — * Wrenching pain in the lust back 
lower tootli}. — *A nervous pain hi the last left lower back tooth, as if the tooth 
ivould be torn out}. — An indescribable sensation in various teeth frequently 
compels him to bite them together, which relieves,'. — A pain, similar to 
that caused by a cold drink immediately after a warm one, in the left 
lower incisor and canine teeth,'. — Pain in various teeth, as if they would 
be raised, '.^ — Pressive pain in the second left upper anterior molar,'. — 

* Very piercing nervous pain inthe last upper molar}. — Sticking pain in the 
left lower incisors,'. — A sticking pain in a left lower incisor,'. — [60.] *Fine 
sticking pains in various teeth}. — A bubbling pain, as if the tooth would be 
raised, in the last right upper back tooth,'. — Tongue. Tongue covered 
with white mucus, clean in the middle posteriorly,'. — *A burning on the 
tongue, us if she had burned it, which she does not notice while eating, but 
which is constant when not eating,'. — Stitch, as with a needle, in the right 



PRUNUS SPINOSA. 159 

side of the tip of the tongue,'. — Itching crawling in the tip of the tongue 
and anterior teeth,'. — Taste. Pasty taste in the mouth after eating,'. — 
Bitter taste in the mouth, in the morning,'. — Slimy taste in the mouth,'. 

Throat. — Rawness and scraping in the throat, provoking cough, in 
the evening, on going to sleep,'. — [70.] Scraping in the throat, as if sore, 
causing a hacking cough,'. — Crawling in the throat, causing hacking cough,'. 
— Crawling sensation in the pharynx, extending upward, provoking two 
coughs,'. — Pinching pain in the right submaxillary gland,'. 

Stomach. — Appetite. At times she is seized with hunger, but after 
eating a few morsels she is satiated,'. — She is constantly satiated,'. — Wau- 
sea. Nausea, with loathing of all food, for at least three hours, so violent 
thkt he was obliged to lie down, though he never vomited, followed by 
diarrh(Ea,^ — Stomach. Fulness in the pit of the stomach, as if she had 
been injured,'. — *Fulness and distension in the pit of the stomach,'-. — After 
taking a few spoonfuls of soup she seems full in the pit of the stomach, as 
if she had eaten heartily,'. — [80.] *Distension in tlie pit of the stomach, 
with shortness of breath, so that she was obliged to rest three or four times 
on a flight of stairs,'. — Pressure in the pit of the stomach, so that she could 
scarcely breathe,'. 

Abdomen. — Hypochondria. Violent pressive pain in the hepatic 
region,'. — Painful pressure in the hepatic region, less noticed while stand- 
ing,'. — Pressive pain beneath the right lobe of the liver,'. — A stitch, as if 
caused by an awl, in the right posterior and lower lobe of the liver, which, 
in walking, takes away his breath,'. — Umbilicus and Sides. Colicky 
pain an inch to the side of the navel,'. — Pressive colicky pain in the right 
side of the abdomen, or a sensation as if small portions of the abdomen 
were pinched,'. — Pressive pain in the right side of the abdomen, so that 
she could not lie upon it, at night,'. — Pain, as if something were forcing 
through in the right side of the abdomen, just above the navel,'. — Gen- 
eral Abdomen, [90.] (^^ Ascites; swelling of the abdomen and loss of 
appetite; scanty micturition; hard nodular stool, discharged with pain in the 
rectum^.) — Incarceration of flatus, causing most frightful cramps in the 
abdomen,'. — ''^Flatulence presses upon the bladder and causes cramp in the 
bladder, so that he is obliged to completely double up^, — Colic, witli slight 
desire for stool, as after taking cold,'. — Colic, as if diarrhoea would occur,'. 
— Colic, as if he had eaten much fruit and subsequently drunk water,'. — 
Pressive colicky pains in the upper abdomen,'. — Twisting colic, with in- 
complete emission of flatus, as if diarrhoea would follow, which, however, 
soon disappear,'. — Pain in the abdomen, as after cold wet weather,'. — She 
could lie neither upon the back nor sides on account of excessive constric- 
tive pain in the abdomen,'. — [100.] * Obliged to walk very carefully and 
softly on account of cramps in the abdomen, so that the abdomen should not be 
shaken at all, otherwise the urinary troubles were greatly aggravated,'-. — The 
cramps in the abdomen and pains on breathing are relieved by bending 
the body forward,'. — Cutting transversely through the abdomen, as if 
diarrhoea would occur, preventing sleep,'. — Itching crawling beneath the 
skin of the abdomen,'. — Mypogastrium and Iliac Megion. 
Swashing, like a bladder filled with liquid, in the fold in the right side of 
the lower abdomen,'. — Pressing pain from within outward, as if a hernia 
would force through, in the region of the right inguinal ring,'. — A very 
painful stitch in the right inguinal region, which ceases after pressure with 
the hands and does not return,'. 

JSectum and Anus. — Much offensive water was involuntarily dis- 



160 PRUNUS SPINOSA. 

charged by the rectum at night by one suffering from ascites, whereupon 
the swelling in the right side of the abdomen constantly diminished, and 
the heaviness caused by the swelling disappeared from the side (after eight 
days)/. — Bleeding from the anus after a hard stool,'. — * Pressive eramplike 
pain, as if an angular body ivere pressed inward, on the right side of the rec- 
tum, an inch above the anus^. — [^10.] Cramplike bubbling in the rectum 
while sitting,'. — * Violent burning in the anus, as from salt in a wound, after 
a slimy diarrhoea-like stool,^. — Itching in the anus,'. 

Stool. — Diarrhoea, with a profuse evacuation, preceded by colic (in a 
person very constipated),'. — She was obliged to go to stool three or four 
times before accomplishing anything,'. — The stool looks like the faeces of a 
dog ; it is passed in small broken pieces, with much sticking pain in the 
rectum, so that she cries out,'. — Stool thin but delayed,'. — Stool hard and 
not daily,'. 

Ut'inary Organs. — Bladder and Urethra. *He suffers 
from tenesmus of the bladder every other quarter of an hour for eight 
hours,^. — ^Burning pain in the sphincter of the bladder,^. — [120.] Cramp in 
the bladder preventing sleep at night,'. — ^Efforts to pass urine torment him 
for a whole hour, with violent burning -biting pains in the bladder and ure- 
thra^. — * On attempting to pass urine he is seized with very severe burning 
pain in the urethra, so that he is obliged to bend up, yet no urine passes^. — 
* Burning-biting pain in the urethra,^. — *He dared not take hold of the urethra 
on account of pain, as from suppuration or ulceration,^. — *As the urine passes 
he is momentarily relieved of his pains, yet there remains a sticking in the 
glans penis, which causes a most frightful spasm of the urethra {ischuria 
urethralis), with tenesmus recti,^. — Micturition and TJrine. Obliged 
to make great pressure to urinate,'. — Passes more urine in a more vigorous 
stream than usual,'.f — She was obliged to rise six or seven times at night 
to urinate, and each time passed half a vesselful ; this was preceded by 
the opposite condition,'. — *He is hurriedly impelled to pass urine, which, 
however, seems to pass forward into the glans penis, and then seems to 
return and cause the most violent pain in the urethra,'. — [130.] Urine 
passes in a thready form, with pressure to stool,'. — (The urine forms two 
streams, as if the urethra had two openings),'. — The urine passes more 
easily than usual,'. — Strangury,'. — Urine biting and hot,'. — Urine clear, 
light wine-yellow, depositing a sediment varying from white to sky-blue,'. — 
Urine extremely scanty and brown,'. 

Sexual Organs. — Male. The prepuce is retracted from the glans, 
and the penis becomes small,'.^An agreeable itching, immediately relieved 
by scratching, in the lower portion of the scrotum,'. — Pain, as if pinched, 
on the left side of the scrotum,'. — Female. [140.] Painful throbbing in 
the female genitals,'. — A constant itching tickling in the region of the 
ovaries, so that she was constantly obliged to scratch, but was not relieved 
thereby,'. — Leucorrhcea staining yellow and causing excoriation,'. — She 
complained almost constantly of leucorrhcea, that made her weak,'. — Some 
blood was discharged from the vagina daily for eight or ten weeks, which 
was more watery the longer the hesmorrhage lasted,". — The menses recurred 
very profusely every fourteen days, and with much pain in the small of 
the back,'. — The menses seem watery and thin,'. 

Respiratory Organs.— Trachea. Tickling in the trachea, pro- 

j_? __^ 

f In a brandy-drinker, who was always obliged to make long pressure before 
micturition was accomplished. 



PRUNUS SPINOSA. 161 

voking cough, on inspiration,'. — Crawling in the upper part of the trachea, 
causing cough, \ — Voice. Voice rough and hoarse,^ — Cough. [150.] 
Whistling cough,'. — Cough caused by an irritation, as if the trachea were 
tickled with a feather; cough renewed by holding the breath,'. — Mespi- 
ration. *Anxioiis, short respiration,'. — *Respiration tight and diffieult, 
with anxiety about the hearty. — -^Shortness of breath, while walking ; nghing, 
as if he were elimbing a high and steep mountain,^. — The breath always 
seems to remain sticking in the pit of the stomach,'. 

Chest. — * Heaviness and oppression of the chest,'-. — * Heavy and anxious 
^ sensation in the lower portion of the chest, frequently compelling him to take a 
deep breath,'. — The chest seems pressed inward; great painfulness inter- 
nally, on"^ breathing,'. — Pain in the chest caused by talking, with a sensation 
as if she would become hoarse, and lose the power to talk, so that she was 
obliged to stop talking,'. — [160,] The large pectoral muscles are painful 
when grasped, as if he had received a blow,'. — Front and Sides. 
Pain beneath the sternum and an oppression of the chest, seeming to be 
caused by fulness in the pit of the stomach and distension of the abdo- 
men,'. — ^Sensation of heaviness in the left chest, frequently obliging him to 
take a deep breath,'. — * Tightness in the upper part of the left chest, for half a 
day,'. — A pressive sticking pain in the middle of the right side of the chest, 
preventing inspiration, frequently coming and going,'. — Pulling tensive 
pain in the left side of the chest, aggravated by inspiration,'. — Dull stick- 
ing pain in the right lower posterior sides of the ribs on pressure ; pains 
as from internal suppuration,'. — Several successive stitches in the middle 
of the left side of the chest, not at all affected by inspiration,'. — Pain on 
the lower portion of the left side of the chest externally, as if a sharp 
corner were pressed against it,'. — 31ammce. Sticking pain in the fleshy 
parts of the left mammary gland on deep inspiration, that extends to every 
side and even above the left shoulder ; while walking and sitting,'. 

Nech and Badi. — [170.] A pressive pain in the nape of the neck, 
which involves the whole occiput, on stooping,'. — * All parts of the back and 
small of the back seem stiff, as if he had been injured^. — Dovsal. Dull 
sticking pain between the shoulders on deep breathing, that extends to the 
lumbar vertebrae and takes away his breath,'. — Pain near the spine, two 
inches to the left of the left scapula, as if a plug were being forced inward, 
on-stooping,'. — Lumhav, Sensation as from suppuration in the lumbar 
vertebrae, very violent while lying down, relieved by gentle motion, but 
speedily aggravated by continued motion, when it extends to the hip-joint 
and causes a sensation as if the ligaments were too short, then he is unable 
to lie upon either side on account of pain in the hip,'. — Pressive pain in 
the small of the back,'. — *Fains in the small of the back, while sitting,'.— 
Stitches in rapid succession in the right lumbar region shooting towards 
the navel, which takes away his breath,'. — Violent dull sticking, piercing 
deep inward beneath the crest of the ilium, that takes away his breath, 
and is aggravated on lying backward,'. 

Superior Extremities. — Shoulder, Pressive pain on the top 
of the right shoulder, ending in the deltoid muscle, preventing him from 
raising the arm, lasting half an hour,'. — [180.] Paralytic pain in the left 
shoulder-joint, extending across the chest,'. — A pressive suppurating pain 
in the axillary glands,'. — Sensation of swelling in the left axillary gland, 
although no swelling existed,'. — ElbOW. Pinching pain in the right 
elbow-joint, with pressive pain on motion,'. — Paralytic pains in the left 
elbow-joint, extending to the wrist,'. — Forearm, Pain as from stiffness, 

VOL. Till.— 11 



162 PRUNUS SPINOSA. 

in the right forearm, while writing, so that he could scarcely hold a pen,^ 
— Paiu as if he had received a blow on the left forearm,'. — Cramplike 
pressure, aggravated by grasping, on the outer side of the right forearm,^ 
— Jerking pain in the left forearm that makes him start,'. — Tensive pains 
in the muscles of the left forearm, impeding the motion of the arm,\ — 
[190.] Pain as if burnt, on the outer side of the right forearm,'. — Wrist. 
Wrenching pain in the right wrist during rest,'. — Pain in the right wrist, 
as if a bursa would form,'. — Hand and Fingers. Cramplike constric- 
tive pain in the right hand, that extends to the tips of the fingers,'. — 
Bruised pain in the metacarpal joint of the left thumb (after three hours),'. 
— Wrenching pain in the right thumb, while writing, so that he nearly 
dropped the pen,', — Pressive pain between the left thumb and index fin- 
ger,'. — Painful pulling in the left thumb extending from behind forward,'. 
— *Paiu as from stiffness, in the right thumb,'. — Spasmodic pain in the 
left thumb,'. — [200,] Paralytic pain in the right thumb,'. — Bruised pain 
in the ball of the little finger,'. — Pain as if burned, on the outer side of 
the right little finger,'. — Painful drawing in the right fourth finger,'.— 
Constrictive pain in the two middle fingers of the right hand,'. — Pulling 
pain extending from the fingers of the left hand through the arm into the 
pectoral muscles of the same side,'. — Pinching tensive pains, first in the 
left, then in the right thumb, lasting several minutes,'. 

Inferior Extremities. — Constant uneasiness in the lower extremi- 
ties, was obliged to move thera here and there,'. — A paralytic pain extend- 
ing from below upward in the right lower extremity,'. — Needle-like stitches 
in the lower extremities and nates, so transient and flitting, that he scratches 
here and there, which causes a sensation as of hot needles,'. — Hij) and 
Thigh. L^IO.] Sensation of weariness in the hip-joints,'. — The pains in 
the hip are most violent before midnight, after midnight they are scarcely 
felt,'. — Pressive pain in the middle of the right thigh,'. — Tearing pain in 
the middle of the right thigh externally,'. — Tensive pain on the inner sur- 
face of the left thigh,'. — Pinching high up on the inner side of the right 
thigh,'. — JLnee. No steadiness in the left knee, a sensation as if it would 
give way,'. — Weakness in the knee-joints, while standing,'. — Pain as from 
stifi'ness, on the inner side of the left knee, while walking,'. — Pain as from 
a sprain, in the right knee, occurring during rest, continuing during mo- 
tion,'. — [220.] Sensation about the right knee, as from steam,'. — Pressive 
paiu in the margins of the bones of the left knee,'. — Pinching pain in the 
hollow of the right knee,'. — Wrenching paiu in the right knee during 
rest,'. — Twitching pain in the left knee,'. — Leg and Ankle. Pain as 
if a plug were sharply pressed against the inner side of the left calf,'. — 
Pain as if he had received a blow, in the middle of the left tibia,'. — *Pain 
as from a sprain in the left ankle,^. — Pain in the tendo Achillis, as if it 
would be torn off,'. — Pressive pain in the left tendo Achillis, that is fre- 
quently throbbing and pulsating,' — Foot and Toes, [230.] Pain as if 
everything were suppurating, in the whole sole of the right foot,'. — *Pain 
as if sprained, in the malleolus of the left foot,^. — Tense pain in the toes of 
the left foot,'. — Pain extending from behind forward, in the great toe, as 
if the last phalanges would be pulled off,'. — Stitches as from awls, in the 
ball of the left great toe,'. 

Generalities. — Trembling through the whole body,'. — She had no 
rest in auy place, and constantly ran about, with shortness of the breath 
and oppression of the chest,'. — She was constantly weary, in the morning, 
and seemed to have had no sleep, with aching in all the bones, especially 



PRUNUS SPINOSA. 163 

she complained of a bruised feeling in the legs/. — Several successive stitches 
in various muscular parts of the body,'. 

Skin. — Itching stitches, like fleabites, iu various parts at night, so that 
he woke and was obliged to scratch, when they immediately ceased,'. — 
[240.] Itching in the tips of various fingers, as if frozen,'. — Burning on 
the legs, so that he was obliged to pull off his boots,'. — The skin of the 
thighs and- calves seems tense, on going upstairs, with a sensation as if the 
parts were swollen,'. — Violent itchiug in the middle of the right thigh ex- 
ternally, after scratching some pimples appear,'. — Sticking itching on the 
inner side of the leg and on the nates, that at last, if he avoided scratch- 
ing, changed to a twitching or pulsation,'. 

Sleep, — Felt sleepy after dinner, while reading, which was usually 
never the case,'. — On becoming warm in bed, she slept quietly for some 
hours, but no more during the whole night,'. — When she woke "from sleep 
after a few hours, she was as wide awake as if she had slept longer or even 
the whole night,'. — In the evening he lay awake in bed for several hours, 
quite contrary to habit, without being alxle to sleep, and woke some hours 
earlier than usual, but seemed to have slept enough,'. — Woke iu the morn- 
ing earlier than usual,'. — [250,] Restless sleep; she was awaken early the 
whole night,'. — Little sleep,'. — Dreams. Sleep mingled with dreams 
and fantasies,'. — Dreams of having boils,'. — Dreamed that he was writing 
on a table covered with dirt, and as he moved the paper that was perfectly 
clean, it seemed to become smeared with butter and fat,'. 

Fever. — General chilliness, towards evening, so that she was obliged 
to go to bed,'. — He was chilly and stretchy,'.-^Dry burning heat over the 
whole body, except on the arms, only somewhat relieved, but not entirely 
removed by perspiration ; in bed he did not feel the dry heat at all, it was 
most violent on the genitals,'. — Dry heat over the whole body, with red- 
ness of the prepuce and painfuluess of the glans penis,'. — During sleep she' 
perspired only on the face,'. 

Conditions. — Aggravation. — {Morrdng), Bitter taste iu mouth;, 
weariness. — {Toward evening), General chilliness. — {Evening), On going to 
sleep, rawness and scraping in throat. — {Night), Stitches in various parts. — 
{Before midnight), Pain in hips. — {Deep breathing). Sticking pain between 
the shoulders. — {Crawling in throat). Cough. — {After dinner), Sleepiness.. 
{After eating). Pasty taste in mouth. — {Grasping forearm). Pressure in right 
forearm. — {Inspiration), Pain in left side of chest ; pains in left mammary 
gland. — {While lying down). Sensation in lumbar vertebrae. — {Lying hack- 
wards). Sticking beneath crest of ilium. — {Continued motion). Sensation in 
lumbar vertebrae. — {External pressure;). Pain in right temporal bone. — 
{During rest),'P&m in right wrist ; pain in right knee. — {Scraping in throat),, 
Cough. — ( While sitting). Cramplike bubbling in rectum. — ( While stand- 
ing). Weakness in the joints. — {Stooping), Pain in nape of neck and occi- 
put; pain in spine. — {Talking), Paiu in chest. — {On attempting to urinate), 
Burning in urethra.— ( While walking). Shortness of breath ; pain in left 
knee.- — {Warm, things in mouth), F&va. in teeth. — {While writing), Ysan in 
right forearm ; pain in right thumb. 

Amelioration, — {Beroding body forward). Cramps in abdomen. — 
{Eating), Burning on tongue.— ( Geni^e motion). Sensation in lumbar ver- 
tebrae. — {Pressure with hands), Stitch in right inguinal region. — {Scratch- 
ing), Stitches in various parts ; itching on scrotum. — {Standing), Pressure 
in hepatic region. — {Thinking intently about it), Pain in forehead. 



164 PSORINUM. 



PSORINUM. 

The sero-purulent matter contained in the Scabies vesicle was used for 
Hahnemann's provings (No. 1). 

The product of "Psora sicca" (epidermoid efflorescence of Pityriasis) 
was used for the provings by Dr. Gross (Nos. 2 to 5). 

Preparation, Triturations. 

Authorities. 1, Hahnemann's provings by " S " and " R ," with 

the 30th potency, once repeated doses, Archiv. f. Horn., 13, 3,163; 2, 
Gross, Archiv. f. Horn., 15, 3, 177 ; 3, like, ibid. ; 4, Kretschmar, ibid. ; 5, 
Liedbeck, ibid. ; 6, Usher, " The Organon," 1, p. 104, effects of 6th dil. 
given to a woman for intense sleepiness in forenoon, of some years' dura- 
tion ; 7, same, effects of continuing to take the "CM." Swan, after the 
cough, for which it had been prescribed, had been relieved. 

i^incl. — Excitable before falling asleep,'. — Very sentimental,^ — Cheer- 
ful, lively, enjoys everything (sixth day),'.— Suddenly very lively, at other 
times depressed; thus it changed several times during the day,'. — He pic- 
tures tlie future in the brightest colors,'. — In good humor; he works with 
pleasure (second morning),'. — In great humor and full of fun,'. — Anxiety, 
full of forebodings, very restless, with trembling of the hands,'. — Unusual 
anxiety when riding in a carriage (first day),'. — [10.] *He is anxious, full 
of fear, and nielancholic,l — Anxious oppression, palpitation,'. — Sometimes 
very melancholy, and then excessively frolicsome,'. — *She is so downhearted 
that she coidd commit suicide, then iafidl of phantasms,^. — * Very melancholy and 
despairing ; he wishes to die in spite of his good luck,'. — * Melancholy and 
sorrowjul,^. — *Very depressed (seventh day),'. — * Despairing mood ; he fears 
to fail in business,^. — *His idea^ are sad and joyless,^. — *Extremely ill- 
humored,^.- — [20.] Very irritable ; quarrels about trifles,'. — Very irritable, 
and wants to talk all the time,'. — *She is very irritable, easily angered; 
thinks always of dying,^. — Very irritable and quarrelsome, in the morning,'. 
— He is very irritable, although he conquers his ill-humor ; only disagree- 
able things affect him, agreeable impressions he passes by without noticing 
them (from smelling 28th potency),''. — Irritable, could weep about every- 
thing,'. — Irritable and quarrelsome in the evening,'. — Fretful for two days 
(after one drop of 15th),*. — Very quarrelsome,'. — Every moral impression 
affects her so much that she trembles over the whole body,'. — [30.] Think- 
ing that he understood what he read, he tries to explain it to another, and 
thus finds out that he does not understand it himself,'. — He cannot rid 
himself of the ideas which appeared to him first in his dreams, during the 
night (for three days),'. — Great disinclination to ride in a carriage (for 
four weeks) ; then at once she wants to I'ide all the time, even in bad 
weather,'. — Does not like to work,'. — She loses her memory, so that she 
does not recognize the room after looking out of the window (second day),'. 
— Memory so weak that he forgets what he had just said,'. — Very forgetful 
(eighth day),'. — Very weak memory ; she cannot recollect anything,'. 

Mead, — Vertigo. * Vertigo, everything turns around with him (eighth 
day),'.' — Vertigo and former sparks before the eyes reappear,l — [40.] Ver- 
tigo in the morning,'. — Much dizziness in the head,^ — General Head. 
When he woke at night his head felt cloudy, as if he had been intoxicated 
during the evening; befogged, stupid, he tumbles about,'. — Sensation of 
heaviness in the head (mornings),'.— *Greai dulness of the head, so tliat 
he fears an inflammation of the brain; nosebleed relieves^''. — Dull head- 



PSORINUM. 165 

ache, with eructations,^ — Weakness of the head,l — Severe headache, as if a 
stick were pressing into her head, with great weakness. She has to lie 
down about 1 p.m., and soon falls asleep. She perspires freely during the 
night, which greatly relieves her (second to third day),\ — Headache tear- 
ing,'. — Headache, as if everything would protrude through the forehead 
(second day, toward evening),^ — [50.] *Headaohe (evening, second day),'. 
— Headache, coldness, dryness of mouth and lips,'. — Spasmodically con- 
tracting headache (eighth day),'. — Pressing headache, with oto-rrhoea (sev- 
enth and eighth days),'. — * Pressing headache, especially unilateral, (\n a her- 
petic patient),". — Frequent intermittent headache (from 9 drops of the 29th 
potency),^ — Pain in the head ; an excruciating tearing, from which, in a 
similar manner, he formerly suffered, and then always for two days, is this 
time combined with a high fever and general arthritic pains,*. — *Pains all 
through the head, as if a hammer were beating in the head,^. — Thrusts in the 
head (fifth day),'. — A severe stitch in the sinews of the head, when turn- 
ing the neck on the left side,'. — [60.] Sensation as if her whole head were 
burning,'. — *Fulness of the head during mental labor,^. — The blood pulsates 
in the head during mental labor,'. — Forehead. He feels stupefied in the 
left half of the forehead (in the morning, after three hours),'. — *Frontal 
headache, with sensation of weakness in the forehead,^. — * Frontal headache, 
as if the brain had not space enough in the skull, on rising in the morning, 
as if everything were pushed out ; it feels better after washing and breakfast,'-. 
— *Frontal headache (third day),'. — Headache, pressing, over the whole 
forehead, especially in the temples, increased by steady mental exertion, 
relieved by motion, especially in the fresh air ; it is worst morning and 
evening, with excessive sensation of heaviness in the forehead ; frequently 
it suddenly passes off, and attacks instead the molars of the left side (from 
10 drops of 30th),^ — Pressing headache in the forehead and temples (sev- 
enth day),'. — Pressing, frequently at intervals ; pinching pain, with a sen- 
sation of heaviness in the upper part of the forehead; sometimes the whole 
forehead aches, and then it feels as if the temples were pressed in ; after- 
wards it suddenly changes to pressing pains in the molars, most frequently 
when walking in the fresh air ; it begins early in the morning, and is most 
severe in the early hours of the morning and iu the evening (eight hours 
after 10 drops of Ist),^. — [70.] On the left side of the forehead dull, press- 
ing, acute stitches, not affected by rest or motion (second and third days),'. 
— Contracting frontal headache,'. — Burning in the forehead (second day),'. 
— A drawing in the frontal sinuses, as in coryza,'. — Pain in the centre of 
the forehead (fourth day),'. — A stitching pain extending from the forehead 
to the nose,'. — Stitches in the right side of the forehead, extending into the 
eye,'. — Temples. Pain in the temple after mental exertion,'. — -A pres- 
sure, shooting into the head, in the left temple (first evening),'. — Hammer- 
ing pain in the temples,'. — [80.] Boring, stifching pains in the temples,'. — 
Vertex and Occiput. Dull pressing headache in a small spot of 
the vertex, after an hour, returning repeatedly (from the 30th),". — Sensa- 
tion as if a cord were tied firmly around the skin, especially about the oc- 
ciput, which feels as if it were pressed outward,'. — A pressing pain, as if 
strained, in the right side of the occiput (noon),'. — External Head. 
Many pimples on the forehead,'. — A crampy pain in the skin of the right 
temple (7^ p.m.),'. — The forehead itches,'. 

Eye. — Objective, Deep, broad, blue rings around the eyes,'. — Glassy 
eyes ; agglutination of the eyes, in the morning ; pressing pains in the eyes,'. 
— Inflammation of the right eye, from December 18th to 30th,'. — [90. J 
Ophthalmia, with pressing pains, as if sand were in the eyes ; lachryma- 



166 PSOKINUM. 

tion during the night/. — Soreness of the eyes and burning, she has to close 
them constantly/. — Subjective. The eyes feel tired in the evening, as 
after reading much by candlelight (first day, evening),'. — Pressure in the 
right eye, worse when touching it,\ — Pressure as of a foreign body in the 
right eye, as soon as it is closed ; when the eye is opened the pain is gone 
(eveningV- — Pressing pains in the eyes,'. — Burning, pressing pains in the 
eyes, when looking sharply at something, and in the evening by candlelight 
(from 10 drops of 30th),^ — Burning pains in the eyes, as if sand were 
thrown into the eyes,'. — Eyes as if full of sand,'. — Biting pain in the eyes,'. 
—[100.] Pressing stitches in the left eye,'. — Stitches in the left eye,'. — 
Stitches in the eye (fifth hour),'. — Fine stitching pain in the region of the 
eye, below the orbits, as if she had sand in the eyes (four hours),'. — Lid. 
*The eyes become gummy,^. — Heat and itching in the inner canthi (from 49 
drops of 29th potency),^ — Itching in the canthi,'. — Itching of the right 
eyelid (sixth hour),'. — Itching of the left lower eyelid from one side to the 
■other,'. — Lacln'ynial AppnraHis. Towards evening, lachryma- 
tion,'. — [110.] * Lachrymation (fifth hour),'. — When looking for a long time 
at an object the eyes fill with tears,'. — Vision. The sight suddenly van- 
ishes, so that for a few minutes everything appears blurred (second day),'. 
— Dazzling of the eyes when walking in the street (evening, first day),'. — 
* Fiery sparks before'the eyes (fifth hour),'. — The former sparks, with vertigo 
before the eyes, reappear,^-- All objects iu the room appear as if they were 
trembling (vibrating),'. 

Ear. — Objective. *Discharge of fetid pus from the ear (seventh 
hour),'. — *Discharge of fetid pus from the left ear,^. — * Otorrhea, mih head- 
ache (eighth day),'. — [120.] Discharge of reddish cerumen from the left 
ear,'. — Subjective. A long-continued, very painful stitch in the lobe of 
the left ear (evening),'. — Single intermitting tearing through the left ex- 
ternal meatus auditorius, sometimes also through the right, as from the 
temporal muscle to the styloid process, for several days (from 10 drops 
of 30th),'. — His ears feel as if stuffed with cotton, for several forenoons 
(from 10 drops of 30th),^ — Sensation in the left ear, as if the breath did 
not come from the respiratory organs, but from the ear,'. — Sensation as if 
something suddenly bursts in the ears, when eating or swallowing saliva,'. — 
Earache in right ear (seventh day, morning),'. — Biting pains in left ear,'. — 
Pain as from an ulcer in left ear ; at the same time on the right ear a 
pimple, having the appearance of the healthy skin, but split in four parts by 
a cross, like a wart; in the centre a deep small indentation,'. — Stitching 
pain in the right ear, preceded by coldness,'. — [130.] Stitching pains in 
the ears,'. — After the buzzing, stitches in the left ear,'. — Stitches towards 
noon in the ears,'. — Stitches in the meatus auditorius internus, momentarily 
relieved by boring with the finger in the ear, then aggravated. Stitches 
frequently return, especially in the evening, during rest,'. — Itching in the 
right ear,'. — Hearinf/, Dull ringing in the left ear (first day, even- 
ing),'. — Ringing either in the left or right ear, with buzzing in the head, 
80 that she hardly hears anything; behind the ears, in the region of the 
sterno-cleido-mastoideus, a tormenting sore pain ; sometimes for a moment 
a sensation of burning heat extending to the vertex ; worse towards the 
evening, when she feels as if somebody pulls her up by the hair,'. — The 
former roaring in the ears becomes so severe that he feels stupefied,^ — 
Buzzing in the ear (first day),'. — The right ear seems changed ; he feels as 
if he hears with the ears of another person,'. 

JV^Ose.— Objective. [140.] Severe sneezing after boring pains in th 
right nostril,'. — Frequent sneezing, without coryza,'. — Sometimes sever 



PSORINUM. 167 

sneezing (second day),^ — *The septum narium inflamed, with white suppu- 
rating pustules (seventh day),'. — Tough nasal muaus; he can hardly do a 
minute without his handkerchief, and still he has no coryza. It feels as 
if he had a plug high up in the nose, which nauseates him, relieved by 
stooping,'. — The nose is not stuffed, but sometimes, especially when stoop- 
ing, a clear watery fluid pours from the nose, especially from the left nos- 
tril,\ — Fluent coryza, after burning in the nose,'.-^Severe coryza for several 
hours, and frequently repeated,'. — Fluent coryza,'. — ^Fluent coryza, with- 
out obstruction of the nostrils; a few drops of water frequently escape 
from the nostrils (from 10 drops of 30th),l — [150,] Fluent coryza from 
left nostril (sixteen hours after 30th),'. — (An old coryza passed off after a 
few days), (from smelling 28th potency),^ — The dry coryza increases 
steaddy (from 49 drops of 29th),^ — Dri/ coryza, with obstruction of the nose,'\ 
— Dry coryza (for three months),'. — Catarrh, with cough and expectora- 
tion of yellowish-green mucus,'. — Subjective. Sensitiveness when breath- 
ing air through the nostrils, which are nearly dry (eighth day),'. — The 
nose stopped,'. — Drawing in the nose up to the frontal sinuses, with pains 
in the eyes, as if coryza would set in, afterwards some fluid discharged 
from the nose (after one hour),*. — In the left nostril pain as of pricks with 
needles, when boring in it with the finger (eighth day),'. — [160.] Boring 
stitches in the right nostril, followed by severe sneezing (third day),'. — 
The burning ceases for a little while after the discharge of mucus (fourth 
day),'. — Burning in the nose, followed as in catarrh by fluent coryza ; after 
discharging the mucus burning pain ceases for a short time (fourth day),'. 
— Towards the root of the nose a scratching, crawling sensation, as if coryza 
would set in (from 6 drops of 30th),^ — Itching on the tip of the nose (first 
day) ; the nose more dry than usual ; it seldom needs cleaning (third 
day),'. 

Face. — Swelling of the face and eyes,l — * Pale face (third day); the 
zygoma is painful to touch, as if the bone were suppurating (third evening ),'. 
— Facial pain diminished,'. — Burning in the face, followed by vesicles,'. — 
Lip. *Swelled upper lip,l — [170,] *Lips broivn and black, dry (fifth 
evening),'. — *Lips dry,^. — On the inner surface of the lower lip a clear 
vesicle,'. — A vesicle frequently appears on the inner surface of the lower 
lip; it burns and pains,'. — -^Lips painful and seem swollen,^.— *Barning of 
the lips,^. — Stitching pains in the lower jaw,'. — Painful itching of the right 
half of the upper lip, as if swollen,'. 

3£outh. — Teeth. At night he gnashes his teeth so severely that it 
awakens him (after three doses of 30th),''. — Suddenly, and without cause, 
blood escapes from the hollow back tooth (from 10 drops of 30th),^ — 
[180.] The teeth seem on edge when smoking (first day, afternoon),'. — 
*£speeially the front teeth feel so loose that he fears their falling out; the pain 
is increased by touching them,'. — Teeth, which are usually loose, feel firm 
in their sockets (second day),'. — -Tearing in the teeth,'. — Stitching pains 
in the teeth, from one side to the other, extending to the head, followed by 
burning pain in the right cheek, which is also somewhat swollen,'. — At 
dinner a severe stitch in a carious upper right tooth, as if the tooth would 
be pulled, followed by steady grumbling and hammering pain in all the 
teeth of the right side, only in daytime; ameliorated by the fresh air,'. — 
When touching the teeth, in order to remove something which had lodged 
between them, a stitch as from needles,'. — Intermitting tearing toothache 
in the molars of the left side, sometimes only a slight soreness, alternating 
with the headache (from 10 drops of 30th),'. — Gunis. The gums inflame 



168 PSOKINUM. 

aud swell up at a. posterior hollow molar, with a crawling pain, aggravated 
by touch (from 10 drops of 30th),'. — *2%e gums on" the right side only- 
are ulcerated after the long-lasting toothache is entirely gone,\ — Tongue. 
[190.] Intfnsely ulcerated tongue and gums, with sore throat,'^. — Coated 
tongue,^ — * Nearly always a ivhite coating on the tongue,^. — *The tongue 
covered with a yellowish-white coating,^. — *The tongue dry (fourth day),'. — 
* The tip of the tongue feels burnt as far as the middle, so that he has hardly 
any tasted — * The tip of the tongue very dry, as if burnt, painful,^. — Gen- 
eral ][louth. Tough mucus in the mouth of a foul nauseous taste; the 
teeth stick together as if glued, and they can only be separated with diffi- 
culty (January 2d to 9th),'; (after smelling the 28th potency, and again 
repeated from 49 drops of 29th potency),^ — To the posterior wall of the 
soft palate tough scratching mucus adheres, tasting like old cheese, appar- 
ently coming from the choanse (nine hours after 6 drops of 30th),'. — * Ad- 
hesion of tough mucus to the posterior surface of the soft palate, necessitating 
hawking (observed in a herpetic patient),'.— [200.] * Dryness of the mouth; 
after the chill great thirst, then heat in the mouth,'. — Dryness of the 
mouth,'; (after smelling the 28th potency, and again repeated from 49 
drops of 29th potency),^. — Scratching in the back part of the mouth ; when 
sitting with the body leaning backward, feels asthmatic (twelve hours after 
30th),'. — Taste. The whole dinner tastes oily,'. — The bread and butter 
in the morning tastes for three days like urine of cats ; at any other time 
it tastes natural,'. — After eating or smoking tobacco, the nauseous taste in- 
creases,'. — Flat insipid taste,'. — Sticky taste in the mouih,'. — Foul taste in 
the mouth ; she drinks to get rid of it,'. — Bitter taste, passing off after eat- 
ing and drinking (from the 30th),'. — [210.] *Bitter taste when not eating^. 
— Bitter taste mornings before eating, passing off during the meal; the 
ton^rue not coated,'. — Bad taste, which finally becomes coppery,*. 

TliVOat. — His throat became covered with spots the size of an ordinary 
pilule, and larger, covered with a cheesy-looking creamy top, a pink circle 
round the base, and some of them looked as if mortification were setting in ; 
they turned black, but there was no fetor; the throat symptoms were worse 
from hawking up, worse from gargling with cold water, and always better 
from his beer. I think it began on the left side, aud was confined mostly 
to that side, perhaps extending a little to the right velum,'.^ — ^A tough mucus 
is secreted through the choanse, adhering to the soft palate, and causing 
hawking; it tastes like old cheese (from 10 drops of 30th),'. — Secretion of 
thick mucus from the choanae into the mouth,^ — *Severe angina; on the 
right side an ulcer, with a sore pain deep inside, and burning in the fauces^. 
— *Dryness; a scraping sensation in the throat (fourth day, morning),'. — 
Some dryness of the throat and oppression of the chest, immediately after 
taking the medicine,*. — Sore throat; cannot swallow,'. — [220.] Sore throat; 
everything she takes burns, e. g., soap; but she can take cold food without 
difficulty (seventh day),'. — Sore throat, she swallows only with difficulty,'. 
— Scraping sen.sation in throat, as if he would become hoarse (observed on 
a herpetic patient),'. — Scratching in the throat, with suffocation, causing a 
dry cough (from 10 drops of 30th),'. — Titillation in the throat, causing 
cough (sixth and seventh days, morning),'. — Titillation in the throat 
(mornings),'. — Tickling sensation in the throat, followed by empty retch- 
ing (morning),'. — Burning in the throat,'. — Burning in the throat (fifth 
day),'. — Burning in the throat, constantly extending farther downwards,'. 
— [230.] Painful sensation in the throat when swallowing saliva ; difficult 
deglutition,'. — Pressing pain in the throat ; she swallows with difficulty; 



PSORINUM. 169 

pains go and come/. — Pain in throat, as if it were swollen,^ — Tonsil 
and Fauces. Th^ left tonsil feels sore and swollen/. — A painful pustule 
on the fauces/. — Dryness of the fauces, with moisture in the mouth,'. — The 
fauces feel as if they were swollen,'. — Dull obtuse stitches in the left tonsil 
(sixth Aay),'^.— External Throat. The submaxillary glands greatly 
swollen and painful to the touch ; also a very painful pustule below the 
left lower jaw,'. 

Stomach. — Appetite. Unusually great hunger after a walk (third 
day, evening),'. — [240,] *Great hunger,'. — ^In the afternoon, hunger and 
thirst for beer (first day),'. — Desire for breakfast (after two hours),'. — A 
good appetite, and still greater thirst,'. — Hunger, in the evening (sixth 
day),'. — ^Hunger, without appetite,^. — Great desire to smoke, but when not 
smoking the appetite for it ceased (first evening),'. — After breakfast aver- 
sion to smoke, but when he begins, smoking is relished (first day, morn- 
ing),'. — Although he has a good appetite, he is easily satiated,'. — *Dirain- 
ished appetite,'. — [250.] Perfect disgust for pork,'. — Thirst. No appetite 
to eat, but he wants continually to drink,'. — Great thirst; dryness and 
burning in the mouth,'. — Excessive thirst (fourth day),'. — Great thirst 
during dinner,'. — Thirst, coldness, dryness in mouth and lips, for four days,'. 
— Thirst for beer,'. — Eritctntions. Sour eructations,'. — Rancid eructa- 
tions (evening),'. — *Eructations tasting like rotten eggs (second day),'. 
1 — [260.] Eructations, with dull headache,^ — Hiccough and Heart- 
hum. Hiccough,'. — Hiccough, after eating,'. — Hiccough, soon after eat- 
1 ing, when smoking his pipe,'. — After drinking water, pyrosis,'. — When 
\ \ lying down, waterbrash ; removed by getting up ; colic removed by eat- 
I \ ing,'. — Pyrosis,'. — N^ausea and Tomiting. * Constant nausea during 
1 the day, with inclination to vomit; a kind of vomiting of sweet mucus every 

morning at ten and in the evening (Novembr 8th to January 21st),'. — ■ 
1 I Morning nausea,'. — *Nausea and vomiturition,'. — [270.] Nausea after all 
I food,^ — He feels nauseated and qualmish in the pit of the stomach (morn- 
ings),'. — He feels qualmish in his stomach after supper; after eating some- 
1 thing roasted it ceases (first day, evening),'. — Vomiting after eating; nau- 
(sea and vomiturition till vomiting took place, first of food, then of a sour 
slimy fluid (first day),'. — In the morning, before eating, vomiting of sour 
mucus, so that the teeth stand on edge,'. — *Sour vomiting,'. — Stomach. 
Bloatedness of the storaach,^ — Much oppression of the stomach,^ — Cramp 
in the epigastric region (fourth day),'. — Stitching pain in the pit of the 
stomach,'. — [280.] Cutting in the epigastric region (fourth day),'. — Con- 
tracting pains in the epigastric region,'. 

Abdomen. — Hypochondria. * Stitches in the region of the spleen, 
passing ofi" when standing still, but are renewed when walking ; after 
awhile they are even felt during rest,'. — *Stitches in the region of the spleen,'-. 
— Stitches in the hepatic region,'. — Umbilicus and Sides. Cutting 
in the abdomen, in the umbilical region,'. — Stitches to the left of the um- 
bilicus, very frequently during rest,'. — Stitches in the right side of the 
abdomen,'. — Severe stitches under the last rib, left side (from February to 
May the stitches continued in the abdomen),'. — Stitches in the sides,'. — 
General Abdomen. [290.] Bloatedness of the abdomen after eating 
frozen things,'. — Abdomen unusually bloated after eating,'. — *Bloated ab- 
domen^. — Passage of foul-smelling flatus,^ — No flatulency whatever up to 
the middle of February,'. — Gurgling and roaring in abdomen (from 10 
drops of SOth),". — Rumbling in the abdomen (sixth day, morning),'. — 
Gurgling in the small intestines (one hour after SOth),". — Colic,'.— Colic, 



170 PSORINUM. 

towards evening, immediately removed by eating,^ — [300.] Twisting in 
abdomen, so that he has to run for the closet ; after the stool feels better ; 
early in the raorning,\ — Griping all over abdomen, especially in the pubic 
region, in females,'. — Griping in abdomen while riding,'. — Intestinal cramps 
early in the morning in bed,'. — Cutting pains in the intestines, relieved by 
the passage of oiFensive flatus/. — Cutting pains in the intestines, as when 
taking a purge (third day),'. — Cutting pains in intestines ; weakness and 
pressure in stomach have ceased,'. — *Pains in abdomen after eating; flatu- 
lency, and tendency to diarrhma; relief when flatus passes offj'. — Pains in ab- 
domen, especially in the epigastric region, as from canine hunger, and ac- 
cumulation of flatus, one hour after supper (three days after 6 drops of 
30th),^ — Sensation of swelling horizontally across the abdomen, below the 
short ribs, when sitting,'. — Hijpogastrium and Iliac Region. 
[310.] Tenesmus and bearing down towards the pubes, with painful burn- 
ing micturition,'. — Twitching of the muscles in the right groin after riding, 
once, but very severe,'. — Dull stitching pains in the inguinal glands (sev- 
enth day),'. — Dull pain in the right inguinal ring (from the 30th),'. 

Rectum and Anus. — Haamorrhoidal troubles in stormy weather,'. — 
Burning nodes at the anus,^ — * Unpleasant burning in the rectum, high 
up,". — Spasmodic pain in the rectum,'. — Sensation in the rectum as if 
chafed, during a ride (fourth to sixth day),'. — Itching in the anus (fourth 
day),'. — [320.] Sometimes fruitless efforts to stool ; he thinks he cannot 
hold it any longer, and after getting ready no stool passes,'. 

Stool, — Diart'hcea, * Green bilious diarrhoea, mixed with mueus,^. — 
Stool during night involuntary, he hardly can reach the closet, and at the 
same time violent emission of a large quantity of flatus; the stool was of 
normal consistency, and passed in small balls (sixth night),'. — Four or five 
stools a day, preceded by colic,'. — Four diarrhoeic stools, without pain (sec- 
ond day),'. — * Diarrhoea, preceded by colic (first day, early),'. — The intes- 
tinal secretion is more copious and never so consistent as usual, for two 
days (from 49 drops of 29th),°. — Two stools in the forenoon ; no more 
during the day,'. — *Soft stool, passed with difficulty,". — *Stool dark-brown, 
very fluid, and foul-smelling,'. — [330.] (He passes, as formerly, bloody 
mucus with the stool,^) — Stool irregular, either costive or mushy (from 10 
drops of 30th),'. — Sometimes a stool shoots away as from a syringe, another 
time it is mushy, sometimes even of normal consistency (first and fourth 
days),'. — Constipation. * Obstinate constipation,''. — Tendency to consti- 
patiou,^ — Stools are stopped (first day),'. 

Urinary Organs. — Discharge of prostatic fluid before urinating 
(sixth day),'. — Stitches in the urethra, from the orifice inwardly (second 
day),'. — Burning and cutting during micturition,'. — Tenesmus urinse, very 
painful, and when he thinks he is done a few drops will yet be discharged,'. 
— [340.] Some urine still flows from the urethra after micturition, although 
he tries to hold it back,'. — Has to get up frequently at night to urinate,'''. — 
*The urine has a red sediment and a pellicle of fat,^ 

Sexual Organs. — Male. The sexual organs relaxed (sixth day),'. — 
At the beginning of urinating, a burning pain at the tip of the penis,'. — 
Frequently a tightness and drawing in the penis,'. — *Absence of erec- 
tions,'. — Absence of erections, even with lascivious thoughts, for about two 
weeks, followed for four days by morning erections and pollutions, with 
satyriasis, and finally the usual state (from 10 drops of 30th),'. — * The 
glans inflamed, with an idcer on it, the testes swollen and heavy,^. — Drawing 
in the testicles, but more steady in the small of the back, for several days,'. 



PSORINUM. 171 

— [350,] Indifference to sexual affairs, relaxation of the genitals, and no 
desire for coition,'. — Perfect aversion to the coitus, nearly through the whole 
proving,'. — Impotence,". — Perfect impotence, for four weeks (in a ver}' ro- 
bust, sexually vigorous man),'. — No semen is discharged during coition,'. — 
Female. Menses eight days too late,'. — Menses too late and scanty,'. 

Resjnratori/ Organs. — Lari/noc and Trachea. * Suffocation 
and crawling sensation in the larynx, producing a paroxysmal, dry, hacking 
cough, when sitting with the body bent backwards ; at the same lime a 
sensation of contraction and of heaviness in the entire thorax, and press- 
ing pain in the upper part of the sternum (sixteen hours after 6 drops of 
30th),^ — Tickling in the trachea, and frequent cough,'. — Voice. *Hoarse- 
ness,\ — [360.] Hoarseness in the chest and throat,'. — Couf/h and Ex- 
pectoration. * Cough with sensation of iveakness in the chest,^. — Cough, 
so that he could not remain in bed, for four nights, nor sleep for an hour; 
felt weak and dizzy.l — Cough, sometimes with expectoration of mucus, 
mixed with streaks of blood,^ — In the morning, cough with copious expec- 
toration (from 49 drops of 29th),^ — Continued cough, with expectoration 
from the chest of much saliva, and vomiting of acid mucus,'. — * Cough, in 
the evening, with pains in the chest and throat, passing off when she is quiet; 
talking produces cough,^. — Irritation to cough, with a sensation of coldness,'. 
— *Dry hard cough, caused by tickling in the trachea,^. — *Dry cough, with 
sensation of heaviness on the chesty. — [370.] Dry cough, with nausea and 
retching, with tickling in the throat, the whole day (seventh day, early),'. — 
*Dry cough, with soreness under the sternum (second day),'. — *Cough., 
with expectoration of green mucus, nearly like matter; especially in the 
morning when waking up, and in the evening when lying doivn, with nausea. 
It sticks firmly, and he can expectorate only with difficulty,'^. — Respiration. 
He breathes easily when doing some light work, as trimming trees,'. — 
When awaking, sensation of constriction, whistling respiration, passing off 
after half an hour ; in the evening, again some whistling in the chest,^ — 
*8hort breath^. — *Short breath in the fresh air, ameliorated by riding and 
lying down,'. — The want of breath and pains in the chest are worse when 
sitting down, so that he could not write for six weeks; ameliorated by lying 
down,'. — * Want of breath in the fresh air, so that he has to hurry home in 
order to lie down,'. — Dyspnoea, in the evening (first day),'. 

Chest. — [380.] * Oppression in the chest,^. — Dull feeling in the chest, 
with excruciating pains in the back,'. — * Excruciating pains in the chest. 
He feels as if a heavy load were on the chest and presses it down, for three 
days, with want of breath, intolerably increased by inclining the head for- 
wards, when stooping,'. — When in bed he has to remove the arms from the 
chest as far as possible, otherwise they increase the pain,'. — Pressing pains 
in the chest, always only for a short time (from 10 drops of SOth),". — 
^Pressure on the chest,''. — ^Pressing pains in the chest, always in small spots 
(from 10 drops of 30th),'. — Stitches in the chest, even when not breath- 
ing,'. — When coughing, stitches in the chest,'. — Feels contracted in the 
chest, and somewhat dry in the throat, immediately after taking the medi- 
cine,*. — [390.] When lifting it feels as if everything ivere torn in the chest,^. 
— * Gutting as of knives, in the chest; the throat feels as if burnt; eructa- 
tions, followed by emission of much flatus, with good appetite, in the even- 
ing,'. — Front and Sides, When coughing, pain in the chest, under 
the sternum, as if something would be torn away from under the sternum, 
extending to the throat (seventh day),'.—* Ulcerative pain in the chest under 
the sternum^. — When taking a deep breath, stitches in the sternum ; when 



172 PSOEINUM. 

touching it, a pressing and bruised pain,'. — Dull boring pain in the right 
side of the chest, with oppressed breathing (sixth day),'. — Twitching 
through the anterior left side of the chest,'. — Stitches in the left chest,'. — 
When breathing, stitches in the right side of the chest, several times,'. — 
Stitching pressing under the left false ribs,'. — [400.] Stitches in the right 
mainma,'. 

Heart, — Palpitations (fifth day),'. 

Nec1\' and Jiack. — Week. * The glands of the neck, are swollen, on 
both sides, painful to the touch, as if they were bruised ; the pain extends to 
the head (seventh day),'. — Boring and stiffness in the nape of the neck 
(sixth and seventh days),'. — Drawing pain in the neck, extending to the 
shoulder, after waking up,'.— Tensive pain in the nape of the neek, after 
waking up, as if he had lain in an uncomfortable position (second day),'. — 
Extremely severe pain in the nape of the neck, only in the house ; it 
passes off immediately in the fresh air, but returns quickly in the house. 
By supporting the head with his hands, it feels as if it had no body, as if 
he could pass through it with his hands (a whole afternoon),'. — Pain in 
the muscles of the right side of the neck, in their upper sinewy part, as if 
there was suddenly too much tension (strain ?), when turning the head to 
the right side, or backward and sideways; relieved by external pressure,^ — 
Stitching pains in the neck, and pustules of the size and form of len- 
tils,'. — Tearing in the nape of the neck,'. — Sack. [410,] * Excessive bach- 
ache,^. — Backache, a kind of sticking pressure,'. — Boring in the vertebrse; 
colic, as from rheum (mornings),'. — The back feels bruised; he- cannot 
straighten out (first evening),'. — *When breathing, frequent stitches from the 
back towards the chest,-. — Dorsal. Boring pains in the dorsal vertebrce 
(sixth day),'. — Between the second and third dorsal vertebra a dull pres- 
sure (first day, afternoon),'. — A constant tearing in and between the shoul- 
der-blades, down the sides, as if rheumatic (sixth and seventh days),'. — 
Tearing in the shoulder-blades (fifth day),'. — Stitches between the shoul- 
ders (mornings),'. — IiUinbav. [420.] * Weakness in the small of the back^. 
— Aching in the small of the b^ck, especially during motion, like mo- 
limina hsemorrhoidalia, so that he cannot comfortably walk straight (from 
smelling the 28th potency),*. — Pressure and itching in small of back (sev- 
enth day),'. — For several days, continual drawing in the small of the back, 
and sometimes in the testicles,'. — Pains in the back, as if the third verte- 
bra from below were wanting or broken (very severe for eight days),'. — 
* Pains in the small of back,^. — Pains in the lumbar vertebrse, with simulta- 
neous aches in the abdomen ; flatulent troubles ; pains in the spermatic 
cords and testicles, as if filled with blood ; a soft stool, passed with diflS- 
culty,^. — Cutting pain in the lumbar region, so that she could not walk 
alone,'. — Stitches in the lumbar region, extending to the knee (seventh 
day, morning),'. — [430.] Several times stitching pressing in the os pubis, 
during bodily exertion,'.— Tightness in the ischii, extending to the knees, 
when walking,'. 

Extremities. — Stretching of the extremities, without thirst or any 
other complaint,'. — * Weakness in all the joints, as if they would not hold 
together,^. — Tearing wandering pains in the extremities, especially aflTecting 
the tibias and soles of the feet, but also the finger-joints, at times also the 
right patella, relieved by motion (from 10 drops of 30th),'. 

Superior Extremities,— Shoulder and Arm. Tearing in 
the left shoulder, afternoon and evening, when resting,'. — Sensation as if 
the left arm was asleep, and numbness in the three first fingers and of half 



PSOKINUM. 173 

of the hand, mornings, for an hour (one hour and a half after 10 drops of 
30th),'. — The left arm feels asleep, with crawling in the fingers, in the 
morning in bed (half an hour after 30th),'. — Tearing in the arm,'. — Inter- 
mittent stitches in the left arm,'. — Spasmodic pains in the bones of the 
■whole left arm, evening when at rest,'.— _E^&ot<?. [440.] Tearing in the 
right elbow (first day, evening),'. — Tearing in elbow,'. — JJaiiU and 
Fingers. * Trembling of hands (sixth day),'. — * Trembling of the hands 
and feet (fourth day),'. — At intervals a tearing pain in the joints of the 
fingers, and in the humerus, knee, toes, lasting a short time, but frequently 
repeated, relieved by motion,'. — Stitches in the left index finger,'. 

Infer iot^ Extremities. — Knee and Ley. Tearing in the left 
knee and shoulder,'. — Sensation iu the right leg, as if it would go to sleep 
(eight hours after 6 drops of 30th),'. — The leg on which he lies in bed feels 
too weak to endure the pressure of the other; he has to change his position 
continually, till he falls asleep (for six days),'. — *Pains in the legs, espe- 
cially in the tibiae and soles, as after too much exercise in walking, with a pecu- 
liar restlessness in the legs, so that he frequently changes position, passing off 
after rising, for several mornings while in bed (eight hours after 30th),'. — 
[450.] Bruised sensation in the tibiae and soles of the feet, as after a tire- 
some journey on foot, for several mornings in bed (from 10 drops of 30th),'. 
— Anhle. (A great swelling around the ankles passes off),''. — In the morn- 
ing, with every step, a stitching pain in the right ankle, also as if he had 
strained a sinew,'. — Foot and Toes. Trembling of feet,'. — Inclination 
when walking to turn the left foot inwards, with sensation as if he had 
really turned it the wrong way, so that he looks at it in order to convince 
himself of the contrary (for five days),'. — Gouty pains in the whole left 
foot,'. — The pains and itching of the feet increase during rest,'. — Cramp 
or spasm in single toes, especially iu the great toe of the left foot, when 
stretching it out or taking off boots,'. 

Generalities. — *-ffe looks pale, exhausted, and thinner than usual; 
all his clothing is too large for him (fourteen days after 49 drops of 29th),\ 
— Hot tremblings over the whole body, with great rush of business,'. — ■ 
[460.] Weakness and tired sensation towards evening ; feels better as soon as 
he goes to bed,'. — * Malaise; he feels tired out,^. — *A very little labor exhausts 
his strength,^. — *IIe feels exhausted after riding in a wagon,^. — Great heavi- 
ness of the whole body, as if he would be attacked with an intermittent 
fever,''. — Stormy weather makes him sick, and causes hsemorrhoidal trou- 
bles,''. — * Stormy weather affects him; he feels already a restlessness in his 
blood a few days beforehand,^ — When the sun shines upon her, a sensation 
as if it pushes her down ; she has to rest a little while in the shade in 
order to walk on (fourth day),'. — (After putting on too light clothing in 
the spring, he suffers from his old rheumatic pains in the neck, head, 
shoulders, back, stomach, etc., with constant eructations, irregular stools, 
twitching in the left eye),". — Cannot sleep on the habitual right side, but 
sleeps on the left (for ten days),'. — [470.] Amelioration in the fresh air ; 
much mucus in the mouth of a nauseous taste. (September 10th till last 
days of October),'. — Feels best when lying down,'. — She feels a great deal 
better in the morning,'. 

Shin. — FruptiortSf I>t^y. Unusual roughness of the knuckles, ex- 
tending up to the metacarpus externally (for five days),'. — On the fingers 
of the left hand, several small warts of the size of a pin's head, slightly 
raised above the skin, smooth, as if they were pared ofi' (fourteen days 
after 10 drops of 30th),'. — It reproduced a large quantity of small warts, 



174 PSORINUM. 

which he had years ago on the left hand (observed on a herpetic patient),'. 
— Red miliaria on the neck, beginning with a stitching pain. Pimples on 
the neck and mammse,\ — A coarse miliary eruption over the left eyebrow 
and cheek, which soon passes oif (third day),\ — Eruptions causing an itch- 
ing-stinging pain, burning after scratching, and feeling sore (observed on 
a herpetic patient),'. — Many painless nodules in the face, on the neck and 
lower extremities, for a long tirae,\ — ^[480,] Small burning pimples below 
the eyes, like heat rash,'. — Red pimples on the margins of the upper lids, 
like fresh hordeola ; sensation as if something were moving before the eyes, 
as if one was playing with his fingers before them,'. — On the border of 
both upper eyelids a pimple like a hordeolum (fifth day),'. — A small pim- 
ple on the upper lip,'. — A small pimple on the neck, with a small tip of 
the size of the head of a pin, with a black point in the centre, very pain- 
ful when scratched (mornings),'. — Itching on the right carpus, with red 
spots, like fleabites, which itch and then pass ofi^,'. — Mruptions, JMLoist. 
It always aggravates herpes and produces troublesome colic, or stinging 
itching,^ — * Eruptions, consisting of vesicles filled with lymph, painful to the 
touch, at various places on the body ; some form papules and itch severely 
(after 10 drops of 30th),'. — *0n the face, hand, and hack, also on the legs, 
an itchlike eruption appears, and the eyes agglutinate so that they cannot be 
opened,'^. — ^Eruption of small vesicles, quickly filling with a yellow lymph, 
painful like sores to the touch, drying up after a few days, on the forehead and 
several places of the face, also behind the right ear (after 10 drops of 30th),'. 
— [490.] Many vesicles on the face,'. — A yellow vesicle of the size of a 
pin's head gradually forms at the red edge of the lower lip, feeling sore 
only when touched (twenty-four hours after SOth),'.- — Around the whole 
mouth an eruption of small vesicles ; outwardly above both corners of the 
mouth, larger sore spots, exuding a fluid which seemed to originate from 
scratching the above-mentioned vesicle and cause a continual scratching 
(in a boy of three years, otherwise perfectly healthy, three days after 10 
drops of 1st),'. — A scab on the' nose, which commonly fell off when cough- 
ing, is now firmly adherent and hard,'. — A painful suppurating vesicle on 
the scrotum,'. — JEfiiptions, Jr'usttiJar. The left concha inwardly in- 
flamed with suppurating pimples (seventh day),'.— Small boils on the chest 
and loius,^— Especially on the hands, wrists, and palms, numbers of small 
papules and ulcers, from which, after being opened, a large quantity of 
watery fluid oozes for hours,^ — Several pustules in the nape of the neck, 
with stitching pains,'. — Towards evening there appear on the buttock 
numerous small boils, causing a burning itching, which soon disappear, 
and leave only small crusts,''. — [500.] An old rhagades near the processus 
styloideus ulnse dextrre suppurated, itched, and remained surrounded by 
small blisters, filled with clear water ; these soon changed to pustules, 
which healed under a crust (from smelling 28th potency),^ — Sensations, 
^Itching over the ivhole body ; when rubbed, small papules and vesicles arise,'. 
— Voluptuous itching at the point where a flea bit; can hardly stand it ; 
white hard blisters on a red base at such points,'. — Itching in the face, on 
the neck and hands, when she touches these places,'. — Easy crawling and 
tingling of all extremities, for several days (after 10 drops of 30th),'. — 
Itching in the biceps of the right arm,'. — Itching on the left arm,'. — Itch- 
ing on the right elbow,'. — Pitching between the fingers, so that he has to 
scratch continually ; small vesicles full of lymph,'. — *A7i itching in the 
knee-joints, which he had for several years, especially of the left, becomes 
aggravated, and the herpetic eruption begins to become pustular (from 49 



PSORINUM. 175 

drops of 29th),''. — [510.] In the evening, after a glass of Muscat wine, 
itching of the soles, with tickling and heat (from 49 drops of 29th po- 
tency),'. 

Sleep. — Sleepiness. Much yawning, at noon and in the evening,'. — 
Frequent yawning, in the evening,'. — Frequent yawning and early sleepi- 
ness, in the evening,'. — Gaping, the first hour; shiverings, with pale blue 
rings ; with tearing and spasmodic pains in the umbilical region (seventh 
day, noon),'. — Sleep unusually sound at night, several nights (after sixth 
day),'. — * Very sleepy, in daytime (sixth day),'. — She sleeps as soon as she 
sits down,'. — Sleepy all the time,'. — For several days he becomes sleepy 
very early,'. — Sleeplessness. [520.] Restless sleep on account of dis- 
quieting dreams,'. — Restless, unrefreshing sleep,'. — Sleep restless but re- 
freshing,'. — Very restless sleep, for several nights,'. — Cannot fall asleep, in 
the evening (for five weeks),'. — Dreams. He dreams of his business and 
of his plans,'. — * Anxious dreams of robbers, travels, and dangers (morn- 
ing),'. — Very uneasy, earnest dreams,'. — He dreams that he is on the closet, 
and thus nearly soils his bed (fifth day),'. — -Many connected dreams which 
are remembered ; the body is in the same position when waking up as in 
the evening when falling asleep (curative action),'. 

Fever: — Chilliness. [530.] Several times chilliness, especially in 
the evening, with hot flashes, great weakness, debility, sleepiness,'. — Creep- 
ing chills,'. — Horripilations, several times a day (sixth day),'. — Sensation 
of coldness, for several days,'. — Towards noon, internal coldness, with 
shivering and horripilation,*. — Several times during the day, sensation of 
coldness,'. — Internal shivering in the afternoon, and creeping chills,'. — 
Feet icy cold, from evening till morning, for several nights (from 10 drops 
of 30th),^. — Heat. At the meals, and in the evening frequently, «s?idde?i 
heat over the whole body, with trickling perspiration all over the face, whereas 
others complain of coldness. Frequent thirst, dryness, and burning in the 
mouth,'. — Heat, sweat, thirst, during the chill and heat,'. — [540.] Heat in 
the evening as if she would lose her senses ;• is delirious, very thirsty, per- 
spires during the night, then feels well,'. — Heat and sweat, in the evening, 
when riding in a carriage (sixth day),'. — Heat, in the afternoon,'. — Heat 
and itching of the right ear (from 49 drops of 29th potency),^ — Sweat. 
*He perspires freely when walking,'. — *When taking a walk, profuse 
sweat with consequent debility, and taking cold easily,^. — Perspiration on 
the face,'. — Copious perspiration on perinseum, when moving about,'. — - 
Copious sweat on the palms, at night,'.— Sweat in the palms and face,'. — 
[550.] * Sweat on the palms of the hands^. 

Conditions.— AggiaYaiion {Morning), Irritable and quarrelsome ; 

vertigo ; on rising, frontal headache ; headache over the whole forehead ; 
pressive pinching pain in forehead ; agglutination of the eyes ; bread and 
butter tastes like cat's urine ; bitter taste ; aflO o'clock, vomiting of sweet 
mucus; nausea; before eating,, sour vomiting; in bed, early, intestinal 
cramps ; cough ; when getting up, cough with expectoration of greenish 
mucus; sensation as if the left arm was asleep, with numbness of fingers 
and hands ; crawling in fingers ; in bed, pains in legs ; bruised sensation 
in tibise and soles of feet ; with every step, pain in ankle. — (Forenoon), 
Ears stuffed. — (Towards noon). Stitches in the ears. — (Noon), Yawning. — 
(Afternoo7i), Hunger and thirst for beer'; internal shivering ; heat. — (To- 
wards evening), Lachrymation ; colic ; weakness and tired sensation. — 
(Eveni?ig), Headache over forehead ; pressive pinching pain in forehead ; 
eyes feel tired ; by candlelight, pains in eyes; sore pain behind ears ; hun- 



176 PSORINUM. 

ger ; vomiting of sweet mucus ; cough ; when lying down, cough with ex- 
pectoration of green mucus ; dyspnoea ; eructations ; emission of flatus, 
etc. ; when at rest, pain in bones of whole left arm ; yawning ; chilliness ; 
sudden heat over the whole body, with tickling perspiration. — {Night), 
Lachrymatlon ; gnashing of teeth ; feet icy cold ; sweat on palms. — {Fresh 
air), Want of breath. — ( Walking in fresh air), Pressive pinching pain in 
forehead; dazzling of the eyes. — {Before falling asleep), Excitable. — {When 
awaking), Whistling respiration. — ( When breathing), Stitches in right side 
of chest; stitches from back towards chest. — -{During chill and heat). Heat, 
sweat, and thirst.— (.4/ier chill). Great thirst, then heat in mouth. — ( When 
coughing), Stitches in chest ; pain in chest. — {During dinner). Thirst. — 
{After drinking water), Pyrosis. — {When eating), Sensation as if something 
burst in the ears. — {After eating), 'Na.useous taste; hiccough; vomiting; 
pain in abdomen ; flatulency, etc. ; abdomen bloated ; frozen things, bloat- 
edness of abdomen. — {During bodily exertion), Stitching pressing in os 
pubis. — {Inclining head forward when stooping). Want of breath ; pains in 
chest. — (In the hoiise). Pain in nape of neck. — {When lifting). Feeling as 
if everything were torn in chest. — {Looking sharply). Pains in eyes ; for a 
long time, eyes fill with tears. — ( When lying down), Waterbrash, removed 
by getting up. — {At meals), Sudden heat over the whole body, with trick- 
ling perspiration.— (Z)wTMi^ mental labor). Fulness of head ; pulsation of 
blood in head. — {Mental exertion). Headache over forehead. — {After mental 
exertion). Pain in temples. — {During motion). Aching in small of back. — 
{During micturition). Burning and cutting. — {During rest). Stitches to left 
of umbilicus; in the afternoon and evening, tearing in left shoulder; pains 
and itching of feet. — ( When riding in a carriage). Anxiety. — •( While rid- 
ing). Griping in abdomen ; chafed sensation in rectum.— (JL/fer riding in 
awagon), Exhaustion. — {After riding), Twitching of muscles in right groin. 
{Scratching in throat). Cough. — {When sitting). Sensation of swelling across 
abdomen ; want of breath ; pains in chest. — {Sitting with body bent back- 
ward), Suffocation and crawling in larynx, contraction in throat, etc. — 
{When smoking). Teeth, seem, on edge; nauseous taste. — -{When stretching 
toe out). Cramp in big toe' of left foot. — {Stormy weather). Sickness and 
hsemorrhoidal troubles.' — {After supper). Qualmish. — {Sioallowing saliva), 
Sensation as if something bursts in the ears; pain in throat. — {Talking), 
Cough. — {When taking boot off). Cramp in great toe of left foot. — {Taking 
a deep breath), Stitches in sternum. — {Titillation in throat). Cough. — {Tick- 
ling in tr-achea). Dry hard cough. — {Touching part). Pressure in right eye; 
pain in teeth ; pain in gums ; pressing, bruised pain in sternum ; itching 
on neck, face, and hands. — {Turning the head to the right side or backwards 
and sideways) , Pain in muscles of right side of neck. — {Turning neck on 
left side), Stitch in sinews of head. — {Before urinating), Discharge of pros- 
tatic fluid. — -{At the beginning of urinating), Pain in tip of penis. — {When 
walking). Stitches in spleen; tightness in the ischii, extending to the knees; 
inclination to turn left foot inward ; profuse sweat. — {After a walk). Hun- 
ger. — {After waking up). Pain in nape of neck. 

Amelioration. — {Morning), The symptoms. — {Fresh air). Pains in 
teeth ; pain in nape of neck ; the symptoms. — {Eating), Colic ; something 
roasted, qualmishness. — {Emission of flatus) , Cutting pains in the intestines. — 
{Lying down). Short breath in fresh air ; want of breath ; pains in chest ; 
the symptoms. — {Motion), Headache over the whole forehead ; tearing pain 
in extremities. — {Nosebleed), Dulness of head. — {External pressure), Pain 



PTELEA TEIFOLIATA. 177 

in the muscles of the right side of the neck. — (Riding), Short breath in 
fresh air. — (Standing still), Stitches in region of spleen. — (Stooping), Feel- 
ing of plug in nose. » 

PTELEA TRIFOLIATA. 

Ptelea trifoliata, L. 

Natural order, Rutacese. 

Common names. Hop Tree, Wafer Ash, etc. 

Preparation, Tincture of the bark of the root. 

Authorities. (Dr. E. M. Hale's provings. Am. Inst, of Horn., 18680 I? 
Prof. Th. Nicol, proving with repeated doses of tincture, 30 to 50 drops at 
a dose; la, same, subsequent proving with tincture, 10 to 25 drops; lb, 
same, 6th dil., repeated doses ; 1 c, same, one dose of 500 drops of tincture;. 
2, Dr. Fish, proving with repeated doses (10 to 30 drops) of tincture ; 2 a, 
same, repeated doses (40 to 100 drops) of tincture ; 3, Dr. Train, proving 
with repeated doses of the 3d dil.; 4, Dr.W. H. Burt, took -gr ounce of 30th 
dec. dil. first, third, and fifth days; ia, same, took 6th dil. daily for four 
days; 4 6, same, took 2d dil. daily for five days; 4c, same, took 40 grains 
of solid extract first day, 80 grains second day, 150 grains third day ; 5, 
Dr. Cowles's proving on Mrs. S. M., aged twenty-seven (average amount of 
urine daily 28 ounces), took 10 drops of 1st dec. dil. ; 5 a, same, took 6th 
dec. dil. three times daily for seven days; 6, A. C. Cowperthwait, took 6th 
dec. dil. four times a day for seven days ; 6 a, same, took 1st dec. dil. four 
times a day for nine days; 7, Dr. C. H. Lutes, took repeated doses (3 to 
15 drops~) of tincture; 7a, same, proving with repeated doses of the tincture 
(5 to 20 drops); 8, C. W. Pierce, M.D., proving with repeated doses (10 to 
100 drops) of tincture; 8a, same, 1st dec. dil. three times a day for three 
days; 9, Mrs. W. (vide Dr. Pierce), proving with tincture, three times a 
day for three days, 10 to 60 drop doses ; 10, Dr. Marshall; proving with 
1st dec. trit. four times a day, increasing from 3 to 15 grains at a dose ; 10 a,. 
same, took.l scruple of "Ptelein," -^^th, three times daily for four days; 11,. 
Dr. E. Parsons, proving with tincture, repeated doses, of 50 drops (several 
times a day) ; 12, Dr. A. Hayward, proving with frequently repeated doses. 
for twenty-five days of 3d dec. trit., then 1st dec. trit. for two days; 13, Dr.. 
W. Williamson, effects of chewing the bark of the root. Trans, of Am. Inst, 
of Horn., 1870. 

MJind, — Emotional. After eating, in the morning, a feeling of live- 
liness and activity for one hour; next hour, gradual passing off of cheer-, 
fulness, amounting to sadness, and a disposition to be displeased with every- 
body and everything (third day) ; feeling, as before, of liveliness after eating, 
followed by great depression of spirits (fourth day),^ — Depression of spirits, 
and a feeling of anxiety about some unknown thing, with the severe head- 
ache, in the afternoon (eighth day),°^ — Disposition to worry about some- 
thing, he hardly knows what (ninth day),". — * General depression of spirits 
(ninth day),". — Lowness of spirits during the forenoon (second day),^ — 
Great lowness of spirits (first and second days),*. — Despondency (sixth 
day),'\ — Very irritable and desponding (fifth day),''^ — Unusually irritable 
all day (fourth day),*. — [10.] Irritable mood ; a very slight annoyance 
keeps recurring to his mind, impelling to speak about it (fifth day),^''. — 
Irritable and intolerant of noise, with feverish feeling (fourth day),'\ — 
Wanted to be let alone (after second dose),''. — Unsteadiness and nervous- 

TOL. Till. — 12 



178 PTELEA TRIFOLIATA. 

irritability, at 11 a.m. (third day),^ — Ordinary conversation in the room 
greatly annoys (after thirty-five minutes),''. — Unusually annoyed by noise 
(third day),'". — Nervousness; an unexpected noise startles and causes a 
shooting pain over the eyes (seventh day),''^ — During the day would be 
startled at slight unusual sounds (sixth day),^\ — Nervousness (fourth and 
fifth days),^ — Intellectual. (Unusual energy to work, in fact feels bet- 
ter than before commencing the proving), (fifth day),'"^". — [20.] In writing 
a letter, felt a curious and unusual disposition to hurry through with it as 
quickly as possible, hardly taking time to write the words (first day),^"". — 
Able to examine papers, but inclined to hurry with it, and in selecting the 
remedy, inclined to follow Fred Humphrey's rule, "First impressions are 
the best" (fifth day),"". — Better able to study than on previous day, but 
difficult to concentrate his thoughts (fifth day),'^ — Sudden shrinking from 
any mental work, with sickness and faintness (soon),'". — Disinclination for 
mental labor (fourth day),". — Disinclination for mental exertion (second 
day),'. — Marked indisposition for mental work (after seven hours and a 
half),"'. — During the whole day, unusual indisposition to a mental or physi- 
cal exertion (second day) ; malaise of body and mind ; desire to lie on the 
lounge and "think of nothing at all" (third day),"". — Lassitude and weari- 
ness, with disposition to hurry (fourth day); mental lassitude (fifth day); 
continued (seventh day),'^ — Confusion of thought, with hurriedness of man- 
ner (soou),'°. — [30.] A little ordinary writing difficult, and confusion of 
the mind and vertigo (after one hour),'°. — Lassitude of mind, with disin- 
clination to study; tasks performed in a perfunctory manner (after seven 
hours),'". — Extreme lassitude; disinclination for mental labor or bodily 
exertion (third day),". — Thoughts chased each other through the mind; it 
seemed impossible to fix the attention upon any one object; from 1 till 5 
A.M. (fifth day),'. — Brain seems agitated, mind confused (after second dose, 
third day),''. — A feeling of mental uneasiness, wandering from one subject 
to another (after second dose, second day),'. — Could not concentrate his 
thoughts, in the forenoon (third day),^ — Mind feels dazed and languid 
(second day),'". — Weakness of mind very marked (fifth day),'\— Unfit for 
mental exertion all day, and toward the afternoon had to give up exertion 
of every kind (tenth day),'. — [40.] Was weighing out a trituration, and 
the mental confusion was so great that he had some difficulty in telling 
what was the tenth part of 150 grains (after twelve hours and a quarter, 
second day),'\ — Mind confused (four hours and a half after fourth dose),"- 
— Confusion of ideas (one hour after third dose),". — Unable to follow the 
train of thought when reading what is by no means difficult (after six hours 
and two-thirds, third day),"'. — Goes about his professional duties in a per- 
functory manner, very unlike the fiery zeal with which he usually combats 
disease and his allopathic step-brethren (second day),'». — Dulness, in the 
afternoon (sixth day),". — Severe prostration of mind (fourth day),'». — 
Memory. His intellectual powers moved slowly and heavily, and had 
difficulty in recalling familiar things to mind (after thirteen hours, third 
day),'*. — Extraordinary weakness of memory ; was unable to recall the 
na,mes of familiar people (fourth day),'^ — Forgetfulness, writing one fa- 
miliar word for another of similar sound (soon),''. — [50.] Extreme forget- 
fulness (after two hours and five minutes),'". — Marked forgetfulness, with 
increase of the headache (after eight hours) ; more marked (second day) ; 
more forgetful than before the proving, and yet, by collecting the thoughts, 
able to recall things read many years ago ; able to supply some additional 
items to a professional paper, intended to be exhaustive (fifth day) ; for- 



PTELEA TRIFOLIATA. 179 

getfulness continued (seventh day),". — Fretfuluess and irritability, with- 
out the slightest exciting cause (sixth day),\ 

Head. — Confusion and Vertigo. Confusion of the head, with 
the rising of the bitter fluid (fifth day),'. — Head confused and giddy when 
retiring to bed at 10.30 (eleventh day),'. — Head weak and confused ("twelfth 
day),'. — Slight vertigo accompanying the rumbling and swelling in the 
umbilical region (after six hours) ; increase of the vertigo, with straining 
at stool (after seven hours and a half) ; vertigo, aggravated by even a 
moderate warmth of the room (first day) ; an attack of vertigo, without 
any exciting cause other than the Ptelea, so violent as to compel discon- 
tinuance of writing and to bow the head on the hands, closing the eyes; it 
was preceded and accompanied by mild nausea, with slight griping pains 
in the stomach (after eight hours, second day),"'. — Fits of vertigo, lasting 
three to five minutes, relieved by moving about, but worse on sudden mo- 
tion ; sensation as if all objects about him were in quick violent agitation 
(after two hours, second day) ; fits of vertigo not so frequent but more 
decided; worse on sudden motion and bending forward (after four hours); 
vertigo only when stooping (after six hours) ; vertigo all gone, but head 
feels a little muddled (after seven hours, second day),'. — Vertigo, aggra- 
vated by even turning the head gradually (after half an hour),'". — Attempt- 
ing to walk aggravates the vertigo very much; unable to stand alone (after 
forty-five minutes),'". — [60.] Vertigo, aggravated by rising from a chair 
(after forty-five minutes),'^ — A sudden attack of vertigo, lasting about one 
minute, at 11 p.m. (second day),''^. — -Slight vertigo, with choking feeling in 
the pharynx (after thirteen hours, third day),'^ — Dizziness when walking 
(seventh day),''*. — On turning the head to look at the clock, taken with 
sudden giddiness and with faint feeling (after twenty minutes) ; too giddy 
to sit up (after thirty-five minutes) ; rising aggravates the giddiness, '°. — 
Transient giddiness, with heat of the head and face, especially on the fore- 
head (second day),'*. — On rising, giddiness, with piercing pain through the 
brain, accompanied by severe aching pain in the stomach (seventh day),'. 
— Giddiness, with vertigo, at 5 p.m. ;_ vertigo long continued, and after it 
increase of abdominal tenderness (eighth day),'. — Giddiness, with the per- 
sistent nausea (tenth day),'. — The giddiness of head and reeling in walking 
much increased (eleventh day),'. — \^Q-^ Attacked with too much giddiness 
and vertigo to keep up (twelfth day),'. — Giddiness (after second dose),". — 
Giddiness, dulness, and languor, in the afternoon (third day),". — Head 
in General, Head feels light (four hours and a half after fourth dose),'* 
— Heaviness of the head, with a muddled feeling, and dull aching pain in 
forehead (third day),". — Sensation of fulness in brain (tenth day),"'. — 
When coughing, head feels as if it would burst (twenty-first day),*'. — Head 
languid and heavy (after six hours and a half, third day),'*. — Dull feeling 
of the head, with languor (after ten hours, second day),*". — Dull heavy 
feeling in the head (sixth day),"*. — [80.] Dull pain through the head, in 
the afternoon (second day),''^. — Severe dull headache all day, aggravated 
by walking (third day),*". — Severe dull headache, aggravated by walking 
upstairs (after three hours, third day),''". — Dull headache set in about 10 
A.M.; continues through the afternoon (second day),^. — Dull headache, 
pressing from within outwards. The headache does not incapacitate for 
mental exertion, but causes a languor and indisposition to work (after one 
hour and a quarter) ; increase of headache, with marked forgetfulness 
(after eight hours) ; headache aggravated by even a moderate warmth of 
the room (first day) ; headache persistent, during the morning (second 



180 PTELEA TRIFOLIATA. 

day) ; headache a little better before dinner ; an hour and a half after 
much worse, and aggravated by mental exertion (second day),"". — Dull 
headache, with a feeling as if he had fever (after two hours, second day),'°. 
— A little dull headache (ninth day),". — Rose with a dull headache, which 
wore away after an hour or two (fourth morning) ; dull headache in morn- 
ing (fifth day); rose with headache (sixth, seventh, and tenth mornings),'"'. 
— Headache, a stunning pressing pain, in the frontal region, closely resem- 
bling a chronic headache, which he had had for many years, and which 
his master in the institute of homoeopathy. Dr. Constantine Hering, cured 
with one prescription of Rhus toxicodendron (third day),''. — Dull oppres- 
sive headache came on, while reading, about 9 p.m. (third day),^— [90.] 
Dull pressive headache, with distress in the umbilicus and nausea (after 
eight hours),'*'.— Constant pressive headache all the forenoon (fourth day),*'- 
— Pressive feeling at the base of the brain, closely resembling the well- 
known Ipecac symptom. "Headache, as if the hair and skull were bruised, 
penetrating through the bones dowu to the root of the tongue, with nausea" 
(first day),'. — Splitting headache, incapacitating for mental exertion, with 
nausea (fifth day),'. — -Splitting headache, aggravated by stooping, moving 
the eyes, and reading (fifth day),''. — Full throbbing headache, with dizzi- 
ness and nausea (ten minutes after second dose, second day) ; headache 
continued the same for half an hour, when it became sharp and darted 
from temple to temple ; very painful, especially when moving,^ — Severe 
throbbing headache on rising (twenty-first day),"'. — Conscious of stunning 
headache before he was awake (fourth day),''. — Quick sudden starts of 
headache during the afternoon (first day) ; headache (after third dose, 
second day) ; headache soon after 5 a.m. ; severe headache after 1 p.m. 
(third day) ; arose at 9 a.m. with headache ; became violent, on a sudden 
movement after doses, at 4 p.m. ; confined to left side ; passed off" after 
stool (fourth day) ; dull headache (fifth day) ; occasional headache (sixth 
day),^'. — This morning the headache is so severe that mental exertion is a 
burden, and the pain is materially aggravated by any attempt to study 
(seventh day),'".— [100.] Oppressive headache over eyes (after third dose, 
second dayj,l — ^In the afternoon a severe headache, with depression of 
spirits, and a feeling of anxiety about some unknown thing (eighth day),"'. 
— Awoke with headache and hunger, both of which passed off after a 
hearty breakfast (eighth day),^'. — Head aches and feels large, at 2 p.m. 
(fifth day),^ — Headache during afternoon ; increased during evening ; quite 
severe upon retiring (third day) ; during afternoon and evening (fourth 
and fifth days) ; headache (sixth day) ; awoke with slight headache (sev- 
enth day),l — Headache continued all day, aggravated by walking (first 
day),*. — ^Considerable flighty headache (fourth day),l — Awoke with hard 
headache; passed off in a short time (fourth day),'"'. — NYoke with the usual 
morning headache (sixth day),''. — Singing aggravates the headache, caus- 
ing shooting pains from within outwards, and increases the nausea (second 
day),". — [110.] Aching pain at the base of the brain, though the intellect- 
ual powers were as active as usual, at 1 p.m. (first day),'". — Headache all 
through cerebrum before rising ; relieved somewhat on rising (fifth morn- 
ing),"'. — Headache seems to be more in the cerebellum (twenty-second 
day),"'. — Headache over the eyes (ninth day),"'. — At 10.15 a.m. headache 
set in ; obliged to lie dowu (seventh day),'. — Headache, at 11 a.m. (third 
and fifth days),^ — Headache (fourth day),'; (thirty-first day),"; (tenth 
day),''^ — Some headache during the evening (eighth day); headache set 
in on waking; continued during the forenoon (ninth day),'. — Slight head- 



PTELEA TRIFOLIATA. 181 

ache, after a long walk (first day),^'. — Slight headache, at night (fifth 
night),*'. — [120.] Slight headache, all the afternoon (sixth day),l — Slight 
headache and hot flushes, at 2 p.m. (seventh day),l — Slight headache, iu 
the morning (eighth and eleventh days),l — Slight continuous headache, 
during the forenoon (second day),'. — Slight headache (eleventh to four- 
teenth day),". — Not rauch headache (third and fourth days),'l — Head just 
ready to ache, at 5 p.m. (fourth day),l— Sharp cutting pains through the 
front of the brain, alleviated by pressing it with the hands (ninth day),\— 
Shooting pains in the head, before rising, in the morning (seventh day),''^ — 
Pains in head quite severe, at 9.30 p.m. (eighth day),". — [130.] Pain in 
head, aggravated by rising (after one hour),'".— Slight pain in the hsad, 
which increases in severity, towards evening (tenth day),". — Muddled feel- 
ing in the head, with poor appetite for breakfast (seventh day),''. — Sensa- 
tion of intoxication (after two hours, second day),'. — Slight return of the 
head symptoms, at 6 a.m. (third day),l — Fol'ehead. Dull aching pain 
through forehead and temples (fifth day),". — Dull pains in the forehead 
(fourth day),"". — Dull heavy feeling in frontal region (thirty-third day),^". 
— Severe frontal headache, lasting about ten minutes, at 11 a.m. (first 
day),^ — Dull frontal headache all day (second day),'''. — [140.] Dull frontal 
headache (twentieth day),*'. — Dull frontal headache, feeling as if the tem- 
ples would be pressed together (after three hours),**. — Dull frontal head- 
ache, lasting all the afternoon (first day),". — Dull heavy headache in frontal 
region (third night),^ — Heavy pressing frontal headache still continues, 
the pain pressing from within outwards, aggravated by stooping (third 
day),'". — Full pressive ache in frontal and temporal regions (half an hour 
after third dose, third day),^ — A number of times through the forenoon 
had a feeling in the forehead as if it were being pressed together from 
temple to temple, with severe distress in the region of the spleen and right 
side of umbilicus (second day),**. — Constant frontal headache, with severe 
pressive pains in the temples, from one temple to the other, every ten or 
fifteen minutes (third day),**. — Pressure in frontal region, extending into 
root of nose, with a sensation as if a nail was being driven into the brain 
on the left side (third day),". — On rising, in the morning, a feeling of pres- 
sure in frontal region and in root of nose (second day),"*. — [150.] Racking 
frontal headache on waking, aggravated by rolling the eyes upward (second 
day),". — Racking frontal headache, with heat of the face and head (after 
ten hours and a half, fifth day),"'. — Throbbing headache in the frontal and 
temporal regions, very painful (after third dose, third day),''*. — Severe 
frontal headache, the pain throbbing, at 10 p.m. (fourth day),". — Frontal 
headache so severe that he almost felt it during sleep, and on waking at 
intervals during the night, noticed that it was more intense than during the 
day (second night),'*. — Headache in frontal and temporal regions, at 6 
A.M. (fifth day),^ — Frontal headache, in the forenoon (second day) ; in the 
afternoon (seventh day), 'I — Frontal headache all day, pressing from within 
outwards (second day),'. — Frontal headache was aggravated by moving 
the eyes and by noise (after forty-fiye minutes), '°. — Sharp pains shoot from 
the right to the left frontal region (second dayj,"". — -[160,] Sharp darting 
pains through the forehead and temples (after second dose),". — Severe 
darting pains through forehead (second night),". — Severe darting and 
throbbing pains in the left supraorbital region (soon after fifth dose, third 
day),". — Severe darting pains just above the supraorbital ridge (fourth 
day),". — Sharp darting pain through left superciliary ridge, extending 
deep into the head, lasting but a short time; would return at intervals, 



182 PTELEA TRIFOLIATA. 

whether in motion or not (one hour after second dose, third day),'. — Severe 
pains in forehead and occiput, in the evening (second day),". — Pain in the 
forehead and temples, in the afternoon (sixth day),". — Pain in the forehead 
(seventh day),". — Severe pain in forehead (tenth day),". — Pain in forehead 
deeper in brain (third day),". — Temples. [170.] Aching pressive pain 
in the temples, aggravated by chewing (fourth day),''. — Dull pressive pains 
in the temples, with occasional fine neuralgic pains (after six hours, first 
day),*. — Sudden pressive pain in the temples ; it feels as if the temples 
would be pressed together (after one hour),*'. — Several times through the 
forenoon had pressive pains from one temple to the other (third day),". — 
A number of times through the day had hard pressive pains in the temples 
(fifth day),*'. — In the afternoon had hard pressive pains at times in the left 
temple (first day),*''. — Once in the evening had hard pressing pains in the 
right temple (fourth day),*'. — Hard pressive pain in right temple (after 
half an hour, third d.ay),*'. — Fine sharp pains of a pressive character in 
the left temple (first day),*". — Several times in the forenoon had severe 
cutting pains in the right temple (fifth day) ; not so severe (sixth day),*'. 
— [180.] Severe darting pain in the right temple, and throbbing pains in 
the left supraorbital region (after two hours and a half, second day),". — 
Severe darting pains in right temporal region (fourth day),". — Frequent 
darting pains in right temple, with constant distress in stomach (probably 
mechanical), (after one hour),*"^. — Piercing pain shooting through the tem- 
ples, with increased headache and nausea, at 12.45 p.m. (third and fourth 
days),\ — Sharp neuralgic pains in the right temple (after twenty minutes),*'. 
— Some throbbing pain in right temple (twenty-third day),"". — Throbbing 
pain in left temple (seventeenth day),''. — Throbbing pains over left temple, 
then over right (ninth day),*". — Headache, worse in left temple, about noon 
(fifth day),'. — Headache in left zygomatic region, at 7 p.m. (second day),^ 
— [190.] At 10 P.M. headache set in, confined to the temporal region (sixth 
day),^. — Constant dull headache all the forenoon, with frequent paroxysms 
of pain in the right temple, as if it would be pressed to the left side (second 
day),*°. — Occasional pains in the left temple (after nine hours),*". — Pain in 
the right temple (seventh day),". — Painful sensations in the temporal re- 
gion, continuing over an hour, at 1.30 p.m. (third day),^ — Pain in left 
temple, at 6 p.m. (fourth day),^ — Awoke having hard sticking pain in left 
temple, followed by a dull headache (fifth morning),'. — Pain in right 
mastoid process of temporal bone, at noon (fifth day),^ — Fine stitches in 
the right temple, with dull distress in the stomach (after forty minutes),*'. 
— Vertex and JParietats. Hot flushes and pain in top of head and 
eyes (fifth day),'. — :[200.] Some pains in head on left side, but by evening 
all symptoms were gone (twenty-fourth day),*'. — From 2 to 4 p.m., head- 
ache on the left side and sharp pain in left temple (seventh day),''. — Hard 
pain in left side of head, at 10 p.m. (fourth day),'. — Dull pain in right side 
of head, at 3 p.m. (third day),'.— In fifteen minutes felt pain in my left 
temple, which ran across the forehead to the right temple, and several 
times in the course of the evening this pain was felt over the left temple 
and in the forehead ; soon after the pain commenced in the left temple, a 
boring pain was felt in the right temple, which was confined to a small 
spot, at 8 p.m. (after two hours). I had pain in the back part of my head, 
worse in the left side; later in the evening, the pains in the front and back 
parts of my head alternated with each other several times ; by 11 p.m. the 
pains in my head were less in degree, and chiefly concentrated in the left 
half of my forehead,^'.— Occ/jpttf. Headache in the occipital region, last- 



PTELEA TRIFOLIATA. 183 

ing half an hour, passing then to the frontal, over the eyes, not very severe, 
at 2 P.M. (fifth day),^ — Heaviness in the occipital region, with gloomy feel- 
ing in the forehead (second day),''. 

JEye. — Pressure over the eyes, aggravated by lifting the eyebrows (after 
half an hour),'". — Heavy feeling over the eyes (fourth day),"'. — ^Cutting 
pains over right eye, sometimes left (eleventh day),*'. — [210.] Occasional 
throbbing pain over eyes, first right, then left (fifth day),"'. — After going 
to bed, severe throbbing pains over eyes, first right, then left (ninth day),"*. 
— Throbbing pain over right eye (thirteenth day) ; sometimes shooting from 
the root of nose upward (fourteenth day),''^ — Throbbing pains over left 
eye, also in right temporal region (twenty-first day),"*. — Sensitiveness to 
the light (fourth day),''''. — Nervous weakness of the eyes (tenth day),". — 
Nervous irritability of the eyes (third day),^. — Smarting of the eyes (after 
six hours, second day),*'. — Eyes heavy (twenty-first and thirty-first days),"'. — 
Pupils contracted (after second dose, third day),''. 

JEav. — [220.] Soreness and swelling of the lymphatic gland under 
right ear (fourteenth day),". — Swelling of lymphatic gland under right 
ear (twenty-third day) ; swelling of lymphatics disappearing (twenty- 
eighth day),"". — At 6 p.m., soon after taking the drug, had a pain behind 
the right ear ; also twice during the evening (second day),^ — About half an 
Jiour after taking drug, had a sharp pain behind the right ear, near the 
carotid artery (third day),^ — Pain behind right ear, at 3 p.m. (third day),\ 
— Pain behind right ear, at 6 p.m. ; hard, at 10 p.m. (fourth day),". — Awoke 
from nap, at 5 p.m., with pain behind right ear and in shoulder, near the spine 
of right scapula (fifth day),^ — A few minutes after taking drug, had a very 
severe pain in the right ear (sixth day),^ — At 9 a.m. felt a sharp pain be- 
hind the right ear ; has not felt one since the last proving, and never any 
before that (third day),^. — Pain behind the right ear, which she felt cer- 
tain was caused by "the drug (soon, seventh day),*'. — [230.] Occasional 
stitches behind the right ear (fifth day),^ — Shooting pains from left ear 
down to the spine (thirty-first day),"\ — Sharp pain in left ear, at 8 A.M. 
(eighth day),*'. — Intolerance of loud talking ; a voice usually pleasant 
sounds very coarse and rough ; thought that it would produce spasms if he 
were obliged to listen ; impression produced by the sound heard last con- 
tinues a long time (four hours and a half after fourth dose),''. — At 7.30 a.m. 
ringing in the ears, with slight giddiness; the ringing lasted for two or 
three minutes, and returning for the same length of time, half an hour 
later (second day),''. — Roaring in the ears (third morning, fourth and 
fifth days),". — Roaring in the ears, which increases in severity towards 
evening (tenth day),". 

Nose. — Sneezing (seventh day),". — Influenza (seventh day),". — Ca- 
tarrhal symptoms less severe (ninth day),". — [240.] Nose stuffed up (sev- 
enth day),". — Soreness of nasal passages (seventh day),". — Breath seems 
to burn the nostrils (after two hours, second day),*". — Breath seems so hot 
that it irritates the nostrils (third day),*°— Pressure in the nose (fourth 
day),".. 

Face. — Sickly paleness of the face, especially around the eyes (after 
three hours),'=. — The face is yellowish, and the skin feels dry and hard (sev- 
enth morning),'*. — Slight burning in face from 2 to 6 p.m. (third day),*. — 
Pain in right zygoma (seventh day),". — Nervous twitching of upper lip, ex- 
tending to left eye (seventh day),"'. — [250.] Lips cracked (third evening),'^. 
—Lips cracked and sore (half an hour after fourth dose),l — Dryness of 
the lips and tongue (after three hours),'". 



184 PTELEA TRIFOLIATA. 

JKoutli. — Teeth. Since the proving one of the right molar teeth of 
lower jaw has commenced to decay, but whether the effect of the remedy 
or not was uncertain,*'. — Teeth all ache and feel sore (after three hours, 
third day),*°. — Aching of right molar teeth, lower jaw, at 7 p.m. (first 
day),'^'. — Toothache on rightside (fourteenth day),*'. — Aching of right molar 
teeth, lower jaw, after going to bed (thirty-first and thirty-third days),**. 
— From 4 to 8 P.M. aching of right molar teeth, commencing in lower 
jaw and gradually extending to the upper of same side (fourth day),*. — 
Aching of right molar teeth, lasting only a few minutes, at 2 p.m., return- 
ing at 6 P.M., lasting the remainder of the evening (fifth day),". — [260.] 
Pain in carious tooth, with extreme sensitiveness ; soreness of the gums ; 
all the teeth feel sensitive, with a dull, aching pain, in the evening (fourth 
day),". — Teeth feel as if elongated (thirteenth day),**. — Sensation as if 
food were lodged between the teeth on right side, commencing at lower 
jaw, extending to upper (thirteenth day),*\ — Tongue, Yesterday the 
tongue was slightly swollen, and had white fur on it; more of swelling and 
fur to day, with burning of the mouth and lips, as if touched with tincture 
of Aconite (fifth day),"'.— Tongue coated yellow and feeling rough (second 
day),^'=. — Tongue yellow, coated along the centre and base (third day),'°. — 
Tongue coated yellow, and the papillae were red and prominent (sixth 
night),''. — Tongue coated yellowish, with red papillae (fifth day),"". — Yel-. 
low-coated tongue (fifth and thirty-first days),''. — Furred tongue (fourth and 
fifth days),". — [270.] The tongue, which had hitherto been clean, was coated 
with a yellowish fur, and the nausea was persistent (sixth day),'. — Tongue 
dry and coated light brown (second day),''. — Tongue dry and coated brown- 
ish-yellow (twelfth day),'. — Roughness of back part of tongue, with the 
nausea (first day),''. — Dorsum of tongue sore on right side, causing painful 
mastication and deglutition (fifteenth day) ; right side of tongue inflamed 
not swollen (sixteenth day),*'. — Feeling as if the tongue had been cut in the 
middle, and was jiist healing up, at 10 a.m. (fifth day),*. — Tongue feeling 
as if it had been scalded ; the whole upper surface feels as after taking 
Aconite (after three hours),^°. — Tongue felt as if it were scalded, all day 
(first day),*'. — Tongue feeling as if it had been burned (after two hours, 
second day),'''. — Acrid feeling in the tongue (after six hours, second day),*'. 
— [280.] Biting sensation in the tongue, with increased secretion of saliva 
(third day),*°. — Stinging, biting sensation all over the tongue (after three 
hours, third day),'''. — Tongue smarts and prickles, and burns a little (elev- 
enth to fourteenth day),'^ — Slight pains about the root of the tongue, worse 
on left side (after five hours),'l — General 3Iouth. Soft palate and 
uvula inflamed (fifteenth day),*'. — Breath hot (twenty-first day),**. — Mouth 
and throat dry (fifth day),^ — Mouth and throat very dry (sixth night),^. — 
Parched mouth, on awaking (second day), I — Bitterness in the mouth, with 
dryness (after forty-five minutes),''. — [290.] Dryness of the mouth, with 
bitter taste (after one hour and fifty-five minutes),''. — Great dryness of the 
mouth, at 11.15 p.m. (second day),''. — Dryness of the mouth (fifth day),''. — 
Saliva. Saliva very profuse ; ran from the mouth during sleep, and wet 
the pillow (first night) ; saliva flowed from mouth very profusely during the 
night (second night) ; perceptible increase in the flow of saliva (third 
day) ; troublesome drivelling (third night) ; saliva not so troublesome (fourth 
night) ; unusual quantity of saliva, thin and watery (fifth day) ; drivelling 
(fifth night); great increase in the amount of the saliva (sixth day),l — 
t)uring the afternoon noticed an increase in the amount of saliva. Spit- 
ting became frequent, though unusual in health (third day) ; saliva is 
greatly increased in quantity, and keeps up a constant drivelling while 



PTELEA TRIFOLIATA. 185 

lying on the face (fourth day) ; saliva very abundant at 12.30; not trou- 
blesome at 9 P.M. (fifth day) ; an unusual amount of saliva has troubled the 
prover ever since,^\ — Increased flow of saliva that tastes saltish (after three 
hours, third day),*°. — Increased secretion of saliva, with biting sensation in 
the tongue (third day),*°. — Slight ptyalism (seventh, eighth, ninth, eleventh 
to fourteenth day),". — Slight salivation (twenty-seventh day),". — Taste, 
In the morning everything tastes and smells sour (twenty-third day),"*. — 
[300.] Bitter taste in the mouth, with the colic (fifth raorning),''\ — Peculiar 
bitter, herby taste,". — Bitter taste in the mouth (sixth and twelfth days),' ; 
(second and fifth days),'" ; (thirty-first day),"*. — Bitter taste in mouth, with 
absence of thirst (fifth day),'^ — Bitter taste in the mouth, with dryness 
(sixth night),'*. — Brassy taste in the mouth (sixth day),'°\ — Rough, flat 
taste in the mouth (third day),*°. — The taste of the medicine continually 
returning in gusts to the mouth ; a feeling as if vomiting would relieve 
(after half an hour),'°. — At dinner all food seemed tasteless (second day),'*- 
— Food has not its natural taste (seventh day),'*. — [310.] Food has an un- 
natural taste, as on recovery from a long illness (fifth day),'\ — Nothing 
tastes natural (after two hours, second day),*". — Speech. Unable to speak 
aloud for some time, on waking (seventh morning),^ 

TflTOat. — Throat ulcerated on right side (sixteenth day) ; throat bitter 
(seventeenth day),"*. — Throat sore on right side, at 8 p.m. (thirteenth day); 
at 2 P.M. ; passed off about 4 p.m. (fourteenth day),"*. — Throat sore, grow- 
ing worse in the afternoon (fourth day) ; worse (fifth day),". — Throat sore 
(twenty-first day),"*. — Slight burning in throat (eighth day),'l — Before ris- 
ing felt pricking pains through and in the throat, particularly in the tonsils 
and larynx, lasting several minutes, and quite severe (third morning),". — 
Unpleasant feeling jn the throat, all the afternoon (sixth day),^ — [320.] 
Sense of dryness, high up in the throat, apparently back of the palate 
(after five hours),". — Fauces. Soreness and inflammation of fauces, 
worse on right side (fifteenth day),"*. — Roughness of the fauces, with feel- 
ing as if vomiting would come on (in a few minutes, first day),'. — Fauces 
feel sore (fourth day),*^ — JP/iarf/nx. Hawking of mucus from the pha- 
rynx (after three hours), '°. — Choking feeling in the pharynx, with slight 
vertigo (after thirteen hours, third day),'*. — Constriction of the pharynx, 
at 1.80 and 9 p.m. (third day),l — (Esophagus. Heat and dryness of 
the oesophagus, as before (sixth day),*. — -A distressing feeling of emptiness in 
oesophagus (thirty-first day),"*- 

Stomach. — Appetite. At supper voracious appetite, followed by 
pain in the epigastric region (sixth day),'*. — [330.] *Appetite voracious 
(seventh day),'*. — Increasing appetite (third and fourth days) ; hungry 
all the time (fifth day) ; awoke with hunger and headace, both of which 
passed off after a hearty breakfast (eighth day),*'. — Appetite somewhat in- 
creased, at 9 P.M. (third day),*. — Was quite hungry, but did not eat very 
heartily (second evening) ; had an abnormal appetite, but his food did not 
distress him (third morning) ; appetite remained quite good for two weeks 
(after the proving),^ — Appetite about the same as usual, except he gets tired 
before he gets through eating (fifth day) ; less appetite (tenth day),'"*. — The 
appetite was much increased for the first few days of the proving, after 
which it diminished ; no particular loathing of food, but rather an indiffer- 
ence to it,". — Appetite was indifl^erently good, but food still tasteless (after fif- 
teen and a half hours, second day),'*. — At dinner the appetite not as good as 
usual, though before the proving it had been keen". Throughout the meal 
the same faint nausea persisted (first day),". — Appetite good at dinner, but 



186 PTELEA. TRIFOLIATA. 

entirely absent at supper-time (first day),\ — Little appetite for breakfast ; 
the bread seemed tasteless (second day),'*. — [340.] At dinner appetite very 
poor, after driving in the cool air all the forenoon (first day),'". — Appetite 
deficient (fifth day),'". — Very little appetite, after eleven hours' abstinence, 
with a strong repugnance to butter (after four hours and thirty-five min- 
utes),''. — Appetite at breakfast poor, with the usual repugnance to butter 
(second dayj,'°. — Deficient appetite, with pain in liver (fourth day),'^ — 
Appetite at breakfast very poor, with muddled feeling in the head (seventh 
day),''. — Appetite poor ; ate a light breakfast, which seemed to afford some 
relief (seventh day),'''. — Appetite not very good (third day),'''. — Appetite 
poor (third, fourth, and fifth days),'\ — Appetite all gone (fourth day),^». — 
[350.] No appetite (ninth day),^ — Unusual hunger, craving for acid food, at 
6 A.M. (fifth day),'. — Desire for acid food (fourth and fifth days),'. — Before 
taking the dose had a good appetite, but after swallowing it, found that he 
could not bear the sight or smell of food, especially of roast beef,'°. — At. din- 
ner, marked repugnance to butter and fatty foods (second day),". — At break- 
fast, repugnance to butter ; even a small quantity aggravates the epigastric 
pain (sixth day),"". — At dinner, a complete repugnance to animal food, 
although there was less nausea than on the preceding day ; unable to eat rich 
pudding, of which he is ordinarily fond (third day),". — At dinner, complete 
disgust at animal food, unable to eat any, and the appetite was very poor 
(fourth day),'". — Thirst, Thirsty and drank a great deal of water (fourth 
and fifth days),^ — Thirsty, with a dry feeling all over the system (ninth 
day),l — [360.] Thirsty (half an hour after fourth dose),^ — Absence of 
thirst, with bitter taste in mouth (fifth day),'". — No thirst (second day),''. 
— Eructalions and Hiccotigh. — Frequent eructations of wind 
from the stomach (thirty-first day),*\ — Eructations of sour fluid from the 
stomach (first day),*.— Eructations, with a bitter taste in the mouth, caus- 
ing nausea and abortive attempts at vomiting (after four hours and twenty 
minutes, second day),'". — Eructations of a bitter taste, with slight nausea 
(after seven hours and a half),'". — Eructations, almost bringing on emesis 
(fourth day),'". — -Eructations tasting of rotten eggs (fourth day),'*. — 
Eructations tasting of the medicine, with increased nausea (after forty- 
five minutes),''. — [370.] Regurgitation tasting of the medicine, but with 
little nausea (after half an hour, third day),". — Eructations tasting of 
Ptelea (after three hours and twenty minutes),''. — Rising of bitter fluid, 
with a deathly nausea, confusion of the head, and sweat on forehead, at 1 
A.M. (fifth day),'. — Sour risings from the stomach, at 4 p.m. (fifth day),'. — 
Sour risings from the stomach, with feeling of weight and uneasiness in the 
stomach (after six hours and fifty minutes, third day),''. — Eructation of 
wind (after first and second doses, third day),'". — Hiccough, at 3 p.m. 
(third day),^ — Heartburn. Awoke in afterpart of the night with heart- 
burn, and a sensation of fine, violent, agitation of all the muscles of the 
body and limbs, worse in hands and fingers ; this sensation passed away grad- 
ually in about five minutes (first night),'. — Nausea and Vomiting, 
Somenausea,'^ — Severe nausea for five minutes, with distress in the umbilicus, 
and dull, pressive headache (after eight hours),*'. — [380.] Constant nausea 
(one hour after second dose),". — Slight but persistent nausea, not at all disa- 
greeable, somewhat resembling the effect of a few inhalations of sulphuric 
ether, at 9.30 a.m. (first day),'. — Slight but persistent nausea, from 9 till 11 
P.M. (first day),'. — Nausea, with pressive feeling at the base of the brain 
(first day),'. — Nausea, with feverish heat and paiji in the limbs (second 
day),'. — Increased nausea, with heat of skin and profuse perspiration on 



PTELEA TRIFOLIATA. 187 

the forehead, after dinner (third and fourth days),'. — Nausea all the after- 
noon and evening, with splitting headache, incapacitating for mental 
exertion (fifth day),\ — Persistent nausea and vomiting, with giddiness of 
the head, and a feeling as if unsteady in the legs (tenth day),'. — Some 
nausea for two minutes, with efforts to vomit (after six hours, third day),'". — 
Sensation of nausea (soon after first dose),l — [390.] Nausea for a few min- 
utes (after fourth dose),^ — Nausea, with full, throbbing headache and diz- 
ziness (ten minutes after second dose, second day),^ — Slight nausea, at 5 
P.M. (fourth day),^ — A very mild nausea, by no means unpleasant, lasted 
during the whole forenoon (first day),''. — Slight nausea, rising from the 
stomach upwards, accompanied by roughness of the back part of the tongue 
(first day),'". — Nausea and pressing pain in the forehead ; the pain presses 
from within outwards (first day),'\ — At 9.30 p.m., nausea, with rumbling in 
the bowels, accompanied with discharge of flatus, with desire for stool (first 
day),". — Nausea, aggravated by lying down (first day),'». — Singing increases 
the nausea, and aggravates the headache, causing shooting pains from within 
outwards (second day),'". — Nausea is much worse on walking (after eight 
hours and a half, second day),'". — [400.] Less nausea; stomach feels 
weak (third day),'". — Pressure aggravates the nausea (sixth day),'". — Speak- 
ing aggravated the nausea (after forty-five niinutes),'".-^Rising aggravates 
the nausea (after one hour and forty-five minutes), '°. — Slight nausea (after 
first dose) ; nausea (soon after first and second doses, second day),*'. — Feel- 
ing of nausea (after third dose, second day),l — Mild nausea, with slight 
griping pain in stomach, preceded and accompanied the vertigo (after eight 
hours, second day),"". — Nausea (thirty-first day),°*. — Slight feeling of nausea, 
with the hard pain in the epigastrium (sixth day),K — Slight nausea (after 
second dose),". — [410.] Burning and qualmishness at the stomach, with 
pain on pressure (after forty-five minutes),'". — Qualmishness increased (after 
forty-five minutes),'". — Qualmishness of the stomach, with weight and pain 
in the right hypochondriac region (after eight hours, fourth day),"". — 
Eetching, with increase of frontal headache (third and fourth days),'. — 
Nausea and vomiting soon followed, although no relief came after the 
vomiting (twelfth day),'. — StOtiiacTl. Rumbling in the stomach, with 
inclination to vomit (soon),'". — Stomach sour (sixth day),'"'. — Sour stom- 
ach and a dull, heavy pain, extending around the small of the back, after 
taking the drug (fifth day),'"'. — Slight sickness at stomach (tenth day),'*- 
— Epigastric region is sore to touch (sixth day),". — [420.] When awake, 
during night, felt that the weight at the stomach was much worse than 
during the day (third night),'". — At breakfast he ate some pudding; symp- 
toms all aggravated at once, especially the heaviness at the stomach and the 
difficulty of concentrating thought (fourth day),'". — At dinner ate roast beef 
and pudding ; pain and distress in the stomach soon after, with feeling as if 
a stone were there (fifth day),''. — Awoke with a weight at the stomach (sixth 
day),'". — An immediate feeling of heaviness in the stomach (after first 
and second doses, third day),^". — Burden in stomach, soon after dinner (sec- 
ond day),^ — Weight and fulness in the stomach, one hour after eating a 
light breakfast (after one hour and a quarter),'*. — A very moderate meal 
was followed in half an hour by a sensation of stuffing and fulness (second 
day),"". — Weight in the stomach, with bloating in the abdomen, on waking 
(second day),'^ — Awakened at 1 a.m. by a pressing pain in the stomach ; 
a feeling as of a weight ; worse on motion, and aggravated by pressure 
with the hands (fifth day),'. — [430.] Constant distress in the epigastric re- 
gion and right hypochondrium, with drawing pains in the fingers and 



188 PTELEA TRIFOLIATA. 

ankles, for one hour (after six hours, fifth day) ; not so severe (sixth day"),*''. 
— Dull distress in the stomach, with fine stitches in the right temple (after 
forty minutes),**. — Constant distress in the stomach, with darting pains in 
right temple (after one hour),*'. — Breakfast relieved the distress in the 
stomach (after one hour and ten minutes),*". — Frequent distress in the 
stomach (first day),*°. — Distress in the epigastrium (after two hours, second 
day),*°. — Burning distress in the epigastrium (not severe), (third day),*°. — 
Distress in the epigastric region (after one hour),*\ — Oppression at the epi- 
gastrium, at 11 A.M. (third day),^. — Attended to his duties as usual, but 
felt such an oppression and weakness at the stomach that he had no heart 
to work (third day),'*. — [440.] Faint feeling in the stomach, with sourish 
rising (after eight hours and a half, second day),'". — A faint feeling in 
stomach (fifth day),*. — Stomach feels empty (fourth day),^ — Empty feeling 
in stomach, after dinner (first day),^ — Immediately after eating dinner 
the stomach seemed perfectly empty ; very troublesome sensation of gone- 
ness (eighth day),'. — Slight burning in stomach (eighth day),'''. — *Pressure 
as of a sto?ie at the pit of the stomach, aggravated by a light meal (third day),'". 
— *Pressure in the stomach, after a light meal (fifth day),'^ — Soreness at 
pit of stomach (third day),\ — Pain at the stomach follows every meal 
(seventh day),'".-;-[450.] Pain in stomach and umbilicus set in with vigor 
(after third dose, third day),'*. — Pain in the epigastric region after supper 
(sixth day),''. — Pain in stomach (fourth day),'. — Griping in the stomach, 
with sharp pain on slight pressure (after three hours and fifty minutes),"". — 
Griping, contractive pain in the stomach, for half an hour (after four 
hours),'". — Griping in the epigastric region (fifth day),'". — Griping pain in 
the epigastrium, aggravated by speaking and by deep respiration ; pressure 
aggravates the pain and causes nausea (after forty minutes, third day),'^ — 
III bed the griping pain in the epigastric region worse than during the day, 
and the abdomen swollen, but not painful (second day),'*. — Occasional 
sharp pains in the stomach (fifth day),*^ — Rapid motion causes sharp pain 
in the right epigastric and hypochondriac regions (second day),'". — [460.] 
At 9 A.M., felt a hard pain in the epigastrium, with slight feeling of nausea 
for about five minutes, and afterwards, three or four times during the day 
(sixth day),'**. — When bending the body, cramplike pains in cardiac region 
(twelfth day),*'. — Slight colicky pain in the epigastric region (fourth day),*. 
— In the afternoon frequent, cutting pains in the epigastric and umbilical 
regions (first day),*''. — Severe aching pain in the stomach, with giddiness 
(seventh day),'. — Aching pains, with occasional sticking in the region of the 
diaphragm (third day),'*. — Continued speaking, even 'for five minutes, 
causes stitching pains in the diaphragm (second day),''. — A squeezing pain 
in the epigastric region (after thirteen and three-quarter hours, second 
day),'*. — Throbbing pain in the epigastric region, aggravated by full and 
deep respiration (fifth day),'*. — ^A wakened by gastric and hepatic symp- 
toms, all of which are aggravated towards morning (sixth day),'". — [470,] 
Eating a very small piece of cheese aggravated all the gastric and hepatic 
symptoms (second day),'<=. — Feeling as of sand in the stomach, at 5 p.m. 
(fourth day),'. — Some unpleasant sensation in stomach, at 9 p.m. (first 
day),*. — Evident signs of gastralgia (fourth day),'. 

Abdomen.— Hypochondria. Constant feeling of weight in the 
hypochondria, when walking ; a dragging pain which aflfects the right as 
well a,s the left side (eleventh day),'.— Pain and soreness, extending from 
the right to the left hypochondriac regions, but worse in the epigastric 
region ; a feeling of weight, aggravated by standing erect or sitting erect, 



PTELEA TRIFOLIATA. 189 

and relieved by stooping forward (six hours and a half after first dose, 
sixth day),'"— Frequent drawing pains in the right and left hypochon- 
drium (fifth daj),". — Slight swelling in the region of the liver (sixth day),''. 
— The liver is perceptibly swollen, and sore on pressure, which causes a 
dull and aching pain (seventh day),'a. — Griping in the bowels, with swell- 
ing of the liver, which is tender to pressure (after eight hours), '•. — [480.] 
The right hypochondriac region is swollen, and the clothes feel too tight 
(fifth day),'^ — Lying on the left side, the liver dragging on the ligaments, 
and swollen and tender even to a light touch (first night),''. — Eating a 
very small piece of cheese aggravated all the hepatic and gastric symp- 
toms (second day),'". — Heavy aching pain in the liver, with deficient appe- 
tite (fourth day),'". — Weight and pain in the liver, relieved by lying on 
the right side ; aggravated by lying on the left, which causes a dragging 
pain (fifth day),'°. — Awakened by hepatic and gastric symptoms, all of 
which are aggravated, towards morning (sixth day),'°. — ^Dull heavy pain in 
the right hypochondriac region, apparently on the convex surface of the 
liver (fifth day),". — Feeling of weight, and dull pain in the right hypo- 
chondriac region, with qualmishness of the stomach (after eight hours, 
fourth day),"". — Stitching pains in the right hypochondriac region, which 
is swollen, with aggravated lumbar pains (after eight hours, fif'tfi day),". — 
Increase of the hepatic pains after a light meal (fifth day),"'. — [490.] 
Hepatic pain aggravated (sixth day),'^ — Liver feels heavy and sore, espe- 
cially when lying on the left side (seventh day),'^ — Dull pain in region of 
liver, at 2 p.m. (sixth day),°. — Rapid motion causes sharp pains in the 
right hypochondriac and epigastric region (second day),'°. — During the 
whole forenoon, sharp pains in the right hypochondriac region (fifth day),'. 
— Occasional pains in right hypochondriura, shooting downwards (eleventh 
day),"*. — On rising, pain in the right hypochondriura, disappearing on 
pressure (fourth morning),". — At 10 p.m., a sharp cutting pain in the right 
hypochondriac region, aggravated by deep inspiration, sufiiciently severe 
to prevent sleep (fourth day),'". — Steady cutting pain in right hypochon- 
driura, at 4 P.M. (fourteenth day),". — Pains shoot from right hypochondriura 
downwards (fourth day),". — [500.] Shooting and throbbing pains in right 
hypogastrium (twenty-sixth day),"a. — Throbbing pains in the right hypo- 
chondriura, at 8 P.M. (eighth day),". — Occasional stitches in right hypo- 
chondriura (third day),"\ — Constant distress in the right hypochondriura 
and epigastric region, with drawing pains in the fingers and ankles, for one 
hour (after six hours, fifth day) ; same, but not so severe (sixth day),^''.^ 
All the evening had a drawing aching distress in the right hypochondriura 
(first day),*'. — Drawing distress in right hypochondriura (fourth day),*. — 
Severe distress in the region of the spleen (after half an hour),'". — Severe 
distress in the region of the spleen and right side of umbilicus, with pres- 
sive feeling in forehead, during the forenoon (second day),'*. — -Frequent 
fine pains in the region of the spleen, and in the fingers (after eight hours),''. 
— Acute cutting pain in the spleen, at 11.35 a.m. (third day),'". — [510.] 
Tenderness of the splenic region, with soreness to the touch (eighth day),'. 
— The pain in splenic region much increased, and the swelling evidently 
greater (eleventh day),'. — Splenic pain much aggravated (twelfth day),'. — 
Umbilical Region. Umbilical region very tender, and seemingly on 
the poiut of aching (third day),^'. — Rumbling in the umbilical region, with 
swelling, accompanied by slight vertigo, with sweat on the forehead (after 
six hours),"". — Pulsations in umbilicus isochronous with those of the heart 
(after second dose),'». — In the evening, the feeling of uneasiness in the 



190 PTELEA TRIFOLIATA. 

bowels (umbilical region) came on, increasing in severity until 9, when it 
was almost intolerable. It was of a peculiar character, bearing down, 
sometimes spasmodic, and griping ; sometimes sharp and throbbing. This 
really severe attack passed off by midnight, and sleep brought entire relief 
(sixth day),^. — -Feeling of uneasiness in umbilical region (one hour after 
second dose),'*. — Dull pains in the umbilical region, quite severe, continu- 
ing half an hour, at 8 p.m. (second day),^ — Dull heavy pain in umbilical 
region (after second dose),'*. — [520.] Dull heavy aching in region of um- 
bilicus (half an hour after fourth dose),''. — Dull, heavy, passive pain around 
the umbilicus, with a fine, active pain above the umbilicus, across the ab- 
domen ; relieved by pressure (half an hour after second dose, third day),'. 
-^DuU, constant, heavy pain in the umbilical region (after one hour, fourth 
day),'. — Several times through the afternoon and evening had sharp 
colicky pains in the umbilical region (second day),*°. — Slight colicky pains 
in the umbilical region (third day),^°. — After going to bed, colicky pains 
in umbilical region, with a desire to press it, but pressure aggravates; 
better on rising (fourth day) ; similar but not quite so severe, after going 
to bed (fifth day),". — Colic pains below umbilicus (ninth da,j),\. — 5 p.m., 
colicky pains in the umbilicus for the last hour (fourth day),*"". — Sharp 
pains in the umbilicus (after one hour, fourth day),"*. — In the abdomen, 
frequent cutting pains in the umbilical and epigastric region (first day),""- 
— [530.] Distress in the umbilicus, with dull pressive headache, and nau- 
sea (after eight hours),**. — Almost constant cutting pains in the left um- 
bilical and epigastric region, with aching distress in the right hypochon- 
drium (third day),**. — About 5 p.m., the old pain in the umbilical region 
became a prominent symptom, and continued without intermission, rather 
severe (second day); pain in umbilicus and stomach set in with vigor (after 
third dose, third day) ; pain and tenderness in umbilicus continued all day 
(fifth day),'^. — The abdominal pain extends more towards the umbilical 
region, and is worse on motion. On drawing a long breath, a sharp stitch 
proceeds from the umbilicus towards the backbone, and the tenderness on 
pressure is increased (ninth day),\ — General Abdomen. Bowels 
slightly distended at night, and feeling like diarrhoea (sixth day),\. — 
Bloating of the abdomen, with weight in the stomach, on waking (second 
day),"'. — Abdomen bloated (first night),'^ — The abdomen much swollen, 
and tender over its whole extent, especially over the splenic region (tenth 
day),'. — In bed, the abdomen swollen but not painful (second day),'*. — 
A general change in the system seemed to have taken place, and the former 
weary feeling supervened, with tenderness of the abdominal viscera, i. e., 
readiness to become painful (after third dose),^. — [540.] Abdominal ten- 
derness increased after the vertigo (eighth day),'. — Rum-bling in the bowels 
followed by diarrhoeic stool (after dose, fourth day),''*. — Frequent rumbling 
in the bowels, with desire for stool (third day),*'. — Rumbling in bowels, at 
2 P.M. (first day),^ — Humbling in bowels (eighth day),^. — Rumbling in 
the bowels, at 1.30 p.m. (third day),^ — Rumbling in the bowels, with ten- 
derness on pressure (sixth day),"". — Rumbling in the bowels after stool 
(after four hours and twenty miuutes),'"". — Griping and rumbling in abdo- 
men continued (second day),"=. — Fain and rumbling in the bowels, as if 
diarrhoea would supervene, at 10 p.m. (fourth day),". — [550.] Pain and 
rumbling in bowels, with copious evacuation, at 10.30 p.m. (fourth day)," 
— Flatulence (third day),". — Involuntary discharge of flatus, with urging 
to stool (fifteen minutes after second dose),'^ — Borborygmus (fourth day),". 
— Some colic after retiring at night (third day) ; colic pains in the morn- 



PTELEA TRIFOLIATA. 191 

ing before rising, with discharge of flatulence ; after going to bed at night, 
colic, with emission of flatulence and borborygmus ; awakens from sleep 
(fourth day) ; before rising, colic with excessively bitter taste in the mouth ; 
colic disappears on motion, but comes on at intervals all day, with frequent 
discharge of wind from the bowels (fifth day) ; about noou, severe colic, 
which seems mostly on the right side (seventh day),"". — Flushes of heat in 
abdomen (half an hour after fourth dose),'". — A feeling of warmth in abdo- 
men and stomach (half an hour after second dose, third day),'". — Soreness 
in the abdomen (third day),*'. — Felt a soreness about the abdomen, aggra- 
vated more by bending the body in any direction than by pressure ; the 
soreness or heaviness of the bowels is such as to incline him, when sitting 
or walking, to support the abdomen with the hands, indicating a moderate 
degree of congestion of the abdominal viscera (fifth day) ; bowels not so 
sore (sixth day),"'. — Griping in the bowels, with rumbling, and pressure 
in the rectum ; pressure increased the griping (first night),'". — [560.] Dull 
pain in abdomen (half an hour after second dose, third day),". — After a 
restless dream, haunted slumber till 1 a.m. ; awoke with a seated, dull, 
heavy pain in the abdominal region, felt distinctly in the liver, which was 
easiest when lying on the right side (first night),''"'. — Constant distress in 
the small intestines, with an urgency to stool (after three hours),*'. — Fre- 
quent distress in the bowels, duriug forenoon (first day),". — Constant ach- 
ing distress in the whole abdomen (second day),*'. — Aching distress in 
bowels, back, and legs, all the forenoon (fourth day),*'. — Slight distress in 
the abdomen, in the forenoon (third day),''^ — Pain in abdomen very severe 
(after third dose, third day) ; whole abdomidal region began to ache and 
pain, on a sudden movement (one hour and a half after dose, fourth day) ; 
abdominal pain settled to a steady dull pain, not so severe as before (after 
five hours, fourth day) ; bowel pains continued (fifth day). It was full 
three weeks before pressure on the abdomen could be endured without 
pain,'''. — Awoke with the same pain in the bowels as the night before, at 
5.30 A.M. ; at 10 a.m., pain in bowels came on with redoubled vigor; 1 
P.M., pain less (seventh day),^ — Had repeated colicky pains in the small 
intestines, lasting but a minute or two at a time, in the evening (first day),**". 
— [570,] Colicky pains in the small intestines, every few minutes for one 
hour (after fourteen hours, third day),*. — Colic pains came on earlier than 
yesterday, but are of short duration (sixth day),^ — At 9 p.m. (in bed), 
sharp thin pain across abdomen, from side to side, half an inch above um- 
bilicus ; comes in flashes, at intervals of about one minute ; relieved by 
pressure (first day),'. — -Pain in the bowels, in the morning (eighth day),\ — 
Awoke three or four times during the night, with hard pain in the bowels 
(sixth night),*. — Pain moved downwards to the abdomen (after four 
hours),'". — Occasional pains in the bowels (first day),*". — Occasional flying 
pains in the abdomen (after three hours),*a. — Occasional pains in various 
parts of the abdomen throughout the day (fourth day),^ — Aching in the 
bowels, while walking ; on standing still ; pain aggravated by deep inspi- 
ration (fourth day),'". — [580.] When lying on the back, a feeling of pres- 
sure on abdomen (sixth day),*'. — Beating in abdomen (four hours and a 
half after fourth dose),'a. — Uneasiness in the bowels, with flatulence, at 10 
P.M. (fifth day), I — Bowels soon felt tendency to diarrhoea (seventh day),*'. 
— Abdomen weak, lax (after second dose),''. — Abdomen feels hollow, 
empty, caved in (after one hour, fourth day),'. — Abdomen felt caved in 
(one, hour after second dose) ; with sense of heat (after fourth dose),''. — 
Sensation of softness in abdomen, and as if its front walls were drawn in 



192 PTELEA TRIFOLIATA. 

towards the spine (after second dose),'*. — Mypogastrium and Iliac 

Miegiou. Distress in hypogastric region, with mushy stool (after four 
hours, first day),*. — Pain in the hypogastrium in the region of the bladder, 
continued fifteen minutes (one hour after second dose, second day),''. — 
[590.] Griping pains, with rumbling in the right iliac fossa (after four 
hours and a quarter, sixth day),". — Steady pain in left hypogastrium, con- 
tinuing several hours (twenty-seventh day),*^. — Colicky pains in the hypo- 
gastrium before stool, in the evening (second day),'"'. — Some colic pains in 
the hypogastrium (fourteenth day),"'. — Severe pains in left iliac region, 
worse on motion, occasionally changing to right side (sixth day),"^ 

Rectum and Anus. — Old pressure at rectum returned (after forty- 
five minutes),''' — Pressure in rectum aggravated by rising (after one 
hour),'". — Pressure in the rectum, and griping and rumbling in the bowels 
(first night),'". — Pressure on the rectum, such as precedes a dysenteric pas- 
sage (second day),'°. — Pressure in rectum is worse as night advances (sec- 
ond day),'". — [600.] Violent urging to stool (after two hours and twenty 
minutes) ; renewed srging (after two hours and thirty-five minutes) ; urg- 
ing to stool, and a sudden discharge of a quantity of thin diarrhoeic faeces 
(after four hours and twenty minutes),'". — Straining at stool, with increase 
of vertigo (after seven hours and forty-rainutes),'\ — Urging to stool, but it 
merely resulted in the difficult discharge of a few balls of hardened faeces 
(after eleven hours and a half, second day),'\ — Urging to stool ; a con- 
tinued pressure on the rectum, but on attempting to have passage it re- 
sulted in nothing (after nine hours, third day) ; after breakfast, ineffectual 
urging to stool ; the feeling of pressure in the rectum lasted all day, and 
at five, finally resulted in the discharge of a small quantity of indurated 
fseces, with only slight relief; there is apparently a true torpor of the 
rectum (fourth day) ; continual urging in the rectum, but no stool (fifth 
day) ; urging in rectum aggravated (sixth day) ; pressure less (seventh 
day),"". — Sudden and unexpected urging to stool, at 8.40 A.M. (first day),'. 
— At 5 P.M., urging to stool, at an unusual time (first day),'. — Urging to 
stool, with rumbling in the bowels, from 6 a.m. till 3 p.m. (seventh day),'. 
— In the evening had severe urging to stool ; it was very loose and dark- 
colored (first day) ; awakened at 9 p.m., by painful urging to stool ; it 
proved to be another attack of diarrhoea ; quantity small, but with much 
pain throughout the bowels (fourth day),'°\— Feels as though diarrhoea 
was coming ; desire for stool, tenesmus, but no stool, at 7 p.m. (sixth day),^ 
— A sensation as if diarrhoea would come on (soon after sixth dose, third 
day),". — [610.] Stool followed by tenesmus, and succeeded by itching and 
smarting of the anus (fourth day),'°. — Distress in the anus following natural 
stool (after two hours),'. — Smarting like piles after a hard stool (eighth 
day),^ — Smarting of the anus, with discharge of diarrhoeic fseces (after 
four hours and twenty minutes),'". 

Stool.—Ukirrhcea. DiarrhoBic stool (fourth day); diarrhoea; five 
stools during the day (fifth day) ; some diarrhoea (sixth day) ; diarrhoea 
(seventh day),'. — Diarrhoeic stool, very dark in color and sulphuric in 
smell, followed rumbling in the bowels (fourth day) ; three stools during 
the day, rather diarrhoeic (fifth day) ; diarrhoeic stool continued a full 
week, when the unnatural condition was removed,". — The prover was 
naturally of a costive habit, and was costive when he commenced the prov- 
ing ; but, after taking the drug, the bowels moved regularly every morn- 
ing, without any particular uneasiness, for two or three days, when symp- 
toms of diarrhoea came on, which, however, amounted only to one thorough 



PTELEA TRIFOLIATA. 193 

operation as from cathartic action ; after this the bowels became consti- 
pated again, there being no movement for two or three days at a time,". — 
Stool at first of natural consistence, but towards the close thinner and diar- 
rhoeic, with slight tenesmus (first day),'. — Soft stool, at 7 a.m. (second 
day); no stool (third day); soft, with tenesmus, at 7 p.m. (fourth day); 
soft stool, at 8 A.M. (sixth day) ; very soft, at 8 a.m. (seventh day) ; natural 
stool, in the evening (eighth day). Bowels nearly natural after first prov- 
ing, but very costive after second,"'. — Passage accompanied by chilliness 
and shivering (after three hours and thirty-five minutes),''^. — [620.] Stool 
of more fluid consistence than usual, and of very fetid smell (after two 
hours and thirty-five minutes); sudden discharge of a quantity of thin 
diarrhoeic faeces, with smarting of the anus (after four hours and twenty 
minutes) ; another stopl, of the same nature as the previous one, yet some- 
what thinner in consistence, and even more cadaverous in smell (after 
seven hours); a discharge of fseoes coated with slime; the passage is fol- 
lowed by tenesmus, which brings on a small discharge of faeces, with a 
larger quantity of mucus, and this is again followed by tenesmus, at 8.15 
A.M. (second day),'''. — Copious stool of fluid consistence and bilious smell, 
with a very copious expulsion of ascarides (fourth day),'°. — Soft stool, after 
eight hours (third day),*'. —At 6.30 p.m., stool, with straining; the dis- 
charge thinner than usual (first day),'. — Stool of a mushy character, with dis- 
tress in the hypogastric region (after four hours, first days),*. — Mushy stool 
at 5 A.M. and 10 p.m. (fourth day),*. — Black lumpy stool, at 2 p.m. (second 
day),*. — Lumpy, dark-colored stool (second' day),*''. — Natural but lumpy 
stool (after three hours),*". — Stools, yesterday and to-day, of usual consist- 
ence and slimy coating (third day),'\ — Cotistipatioii. [630.] * Consti- 
pation (sixth day),". — Constipation ; no morning stool as usual, but at 7 
P.M., small hard stool, after much straining (third and fourth day),'. — 
Bowels costive (sixth day),"'\ — Stool rather constipated (second day),*^ — 
For three days has had no stool till to-day ; stool nearly natural (fifth 
day); no stool for two days (seventh day); hard stool, at 9 a.m. (eighth 
day); less tendency to costiveness (three or four days after leaving oS" 
drug),". — No passage from bowels to-da}', a very unusual occurrence (first 
day),'^ — No passage from the bowels (fifth day),'*. — No stool to-day (an 
unusual occurrence), (sixth day),'. — No stool, but continual urging in the 
rectum (fifth day),'^— No stool (sixth day),'".— [640.] Hard and ditfioult 
stool, with smarting of the anus, after the passage (eighth day),'. — Hard 
and difficult stool, at 9 a.m. (tenth day),'. — At 4 p.m., hard stool, with 
straining (fourth day),' . 

Urinary Organs.— Bladder and Urethra. Felt a strange 
uneasiness in the bladder and prostate (first evening),'^^ — ^Heat in the 
region of the prostate (third evening),^'. — Tickling in urethra, after urin- 
ating (after third dose),'. — Smarting sensation in the urethra upon urinat- 
ing; continued for twenty minutes after urinating (first evening); con- 
siderable burning in the urethra (third evening),^'. — -Sensitiveness of the 
urethra (second day),l — Micturition and Urine. Desire to urin- 
ate, on awaking, at 6 a.m. (fifth day),^ — At 2 p.m., urine increased in 
amount, filled with whitish sediment (second day) ; urine more nearly 
normal (third day) ; urine increased iti quantity (seventh day),''. — [650.] 
Urinated 5 ounces (2 ounces more than normal quantity) at 6 p.m., 5i 
ounces at 9.30 p.m. (second day) ; 6 ounces at 6 a.m. and 6 p.m. (third day) ; 
7 ounces at 6 a.m., and 61 ounces at 5 p.m. (fourth day) ; 7 ounces, clear, at 
6 A.M., 7^ ounces at 11 a.m., 7 ounces, clear, at 6 p.m., and 5 J ounces at 
VOL. Tin.— 13 



194 PTELEA TRIFOLIATA. 

10 P.M. (fifth day) ; 9 ounces at 6 a.m., and 7|- ounces at 10 p.m. (sixth 
day) ; 8 ounces 10.15 a.m., and 8^ ounces during the evening (seventh 
day) ; 25 ounces (eighth day) ; 37 ounces of rather clear urine (ninth day) ; 
22i ounces (tenth day),'.— 10 ounces of urine passed (first day) ; 31 ounces 
(second day) ; 30 ounces (third day) ; about the same amount as the last 
day (fourth day) ; nearer normal amount (fifth day),'''\ — Urine, during the 
last twenty-four hours, only 16 ounces, with reddish cloudy sediment (sec- 
ond day) ; 20 ounces of clear urine (third day) ; 24 ounces of rather red 
urine (fourth day) ; 28 ounces of clear urine in the last twenty-four hours 
(sixth day) ; 21 ounces of clear urine in twenty-four hours (seventh day),l 
— 30 ounces of clear urine during last twenty-four hours (second day) ; 26 
ounces of clear urine in twenty-four hours (third day) ; 26 ounces (fourth 
day) ; 28 ounces (fifth day) ; 28 ounces, clear (eighth day),^'.— Urine 
scanty, with copious deposit of phosphates and epithelial scales ; sp. gr. 
1035"(fifth day) ; incontinence of urine; sp. gr. 1035; a free deposit of 
phosphates (sixth day) ; urine frequent, rather scanty, some scalding, and 
difficulty of retention; sp. gr. 1030; deposit less copious (seventh day) ; 
urine scanty during the day ; the scalding and diflSculty of retention all 
gone ; sp. gr. 1030 (eighth day) ; urine slightly alkaline, copious deposit 
of phosphates and urates, tinged with purpurin ; sp. gr. 1035 (ninth day),". 
— Average specific gravity of urine during the proving 1023 ; standard 
1019,''\— Urine scanty and of a deep reddish-yellow tint (second day),'°. — 
Urine, all through the proving, of deep reddish-yellow tint and small in 
quantity ,'^ — Urine redder than usual during the whole time,". — Urine 
was high-colored ; the "yellowish-red" of Newbauer and Vogel (sixth 
day),'". — [660.] Urine is deeper in color, and scalds slightly during pas- 
sage (fifth dayV". — Urine high-colored (second day),*'. — Urine deposits 
muddy sediment (after third dose),". 

Sexual Organs. — 3Iale. In the evening, when first lying down, 
intense throbbing pains, commencing in glans penis and extending to left 
pubic region, and gradually disappearing (sixth day),''^ —An awakening of 
sexual desire on awaking (second day),l — Sexual desire increased (third 
day),^ — Perceptible increase in sexual desire (fourth day),". — The sexual 
appetite was very much increased for several days, after which there was 
a total absence of sexual excitement, until the medicine was discontinued,"- 

Respiratory Organs. — Before rising, in the morning, sensation 
as of a foreign substance in the larynx (fourth day),". — Great hoarseness 
of the voice (twenty-first day),"^. 

Chest. — [670.] In the evening, walls of chest feel as if they had not 
power to expand when breathing (twelfth day),"*. — The efl^ects mentioned 
in the proving have gradually declined. The only new phase consists in 
a number of thoracic symptoms, which have come on very gradually, and 
which now cause considerable pain. As the various gastric and hepatic 
symptoms declined, wnea-smess and difficulty in breathing came on, with dull 
pain, especially in the right infraclavicular region, accompanied by hack- 
ing cough without expectoration. This has come on very insidiously, and 
now the right lung is dull on percussion, especially in the right infraclav- 
icular region. On auscultating the region over the bifurcation of the 
trachea and the upper part of the sternum (with Cammann's stethoscope), 
the respiration was found to be tubular, the sound was higher in pitch than 
the normal vesicular sound, and more rapidly evolved. Expiration and 
inspiration were of equal length, with a slight interval between them. On 
making a full inspiration, sharp pains shot from the sternum towards the 



PTELEA TRIFOLIATA. 195 

nipples, especially that of the left side. Pressure on the intercostal spaces 
close to the sternum caused pain of a dull aching nature. These thoracic 
symptoms were better in the house, and aggravated by exposure to the 
keen air (eleventh day); thoracic symptoms had gradually declined 
(eighteenth day),''. — Pain in the lower part of each lung, in the evening 
(sixth day),"'. — A sharp darting pain through upper lobe of left lung, 
lasting only a short time, but returning every half hour; aggravated by 
descending stairs; did not feel it after the first day,^ — Pain in left lung, 
lasting for several minutes (fourth day),". — Soon after rising and taking 
drug, felt sharp stitches through the right lung, which is sound (seventh 
morning),''. — Feeling of pressure on the lungs, and of suffocation when 
lying on the back, on awaking, at 1 a.m. (first night),". — Paius in the pos- 
terior mediastinum were aggravated during the attack of vertigo (second 
day),'^ — Stitching pains in the upper part of the posterior mediastinum, 
aggravated by deep breathing, and by the recumbent position; this is ac- 
companied by soreness of trapezius muscles (second day),"': — Tenderness 
at the sternum (fourth day), I — [680.] Pain in back of left breast, near 
the axilla, at 9 p.m. (third day),°. — At 10 a.m., darting pain under right 
breast (seventh day),^. 

Heavt ancl Pulse. — Awoke from afternoon nap with slight pain 
near the heart, and afterward shooting pain under the right breast (eighth 
day),'*'. — Cramplike pains in region of the heart (eighth day),*^. — A severe 
pain in the region of the heart, lasting several minutes (after one hour, 
second day),". — JPlilse, Pulse quickened from 72 to 104 in fifteen 
minutes ; small and hard ; pulse 126, small and thready (after one hour 
and ten minutes); pulse, at 104, small and weak, at 10.30 a.m. (second 
day\'°. — Pulse accelerated, on awaking (second day),\ — Pulse rapid, at 
bedtime (second day),l — Pulse 104, small and weak (fourth day),''. — 
Pulse 88 (first day) ; 96, small and hard (third and fourth days) ; 96, 
small and fluttering, at 4 p.m. (fifth day),'. — [690.] Pulse full, hard, tense, 
but not rapid (third evening); pulse more rapid, 90 (fourth morning);, 
more natural than on preceding day, at 12.30 p.m. (fourth day) ; pulse 
rapid, from 80 to 90 (fifth day),". — Pulse 72, weak and fluttering, in the 
morning (second day),''. — Pulse first full and hard, but, during the severe 
symptoms, quiet ; again feverish and full at the close,l — Pulse two beats 
below the natural standard (third day),*'. — Radial pulse, 68, but very 
strong, so as to be readily seen (ten minutes after second dose, second day) ; 
pulse slow, strong, irregular, 60, at 5 a.m. (third day) ; pulse full and 
hard, very irregular, at 5 p.m. (fourth day) ; pulse 85, full (ninth day),". 
— Pulse 80 (first day) ; 74 (second day),*°. — Pulse 88, soft and weak (after 
eight hours, fourth day) ; 74 (after ten hours, fourth day),'"'. — Pulse 88, at 
8 a.m., 82, at 3 p.m. (second day) ; 92 (seventh day) ; 100 on rising from 
afternoon nap ; an hour later, 80 (eighth day),''. — Pulse 85, regular, full 
(normal pulse 75), in the evening (fourth day) ; 85 (fifth day) ; 80 (sixth 
and seventh days); 84 (eighth day),". — Pulse 104, quick, small, and 
somewhat intermitted, in the forenoon ; 84, at 2 p.m. ; 96, at 3 p.m. (fifth 
day) ; 80, in the morning ; 92, at 11 A.M. (after ironing an hour) ; 88, 
and occasionally intermitting, at 5 p.m. (sixth day) ; 75, in morning ; 106, 
at 2 P.M. (seventh day) ; 96, with burning cheeks and hot flushes, at 2 
P.M. (eighth day),'. 

Neck and Bach. — [700.] Neck. Pain in back of neck, at 6 p.m. 
(fourth day),'. — Cords of neck lame on the right side (fifth morning),'. — 
Whole neck feels swollen, about noon (fifth day),'. — ^Pain in back of neck,, 



196 PTELEA TRIFOLIATA. 

about noon (fiftli day),l — In the afternoon, the nape of the neck grows stiff, 
causing painful tension when moving (twenty-second day),*^. — Back. 
Lameness in the back on getting up (third day),\ — Back somewhat lame 
on waking (sixth day),^ — Awoke with backache (seventh morning),^ — 
Backache (eighth day),l — Hard backache the whole length of spine and 
back of neck, also through right shoulder, at 7 p.m. (seventh day),^ — 
[710.] Dull backache (third day),^^ — Awoke with severe backache, which 
passed off in one hour (third day),". — Aching distress in back, bowels, 
and legs, all the forenoon (fourth day),'". — Back and legs ached all the 
afternoon (sixth day),*'. — Pain in back, accompanied by rumbling in the 
bowels, with bloating and tenderness on pressure (seventh day),"". — Awoke 
by pain in the back (seventh day),'^ — Awoke with severe backache, which 
■lasted about half an hour (fifth day) ; same symptom, but not so severe 
(sixth day),^''. — Dorsal. Dull aching pain in the left scapula, aggravated 
•by the slight exertion of writing (after half an hour, third day)"".^ — Awake 
■ail night from the harassing nature of the pains, especially in the back, in 
all the regions, but especially the dorsal (fifth night),"'. — Aching-drawing 
pain in the left scapula and shoulder-joint, at 2.40 p-m. (third day),'°. — 
[720.] Rending tearing pain in the left scapula (first night),'". — Luin- 
hav. Dull aching pain in the small of the back (seventh day),". — Dull 
heavy pain, extending around the small of the back (fifth day) ; the sore- 
ness or lameness of the lumbar region is worse (sixth day) ; pain in the 
lumbar region most of the time (seventh and tenth days),'"". — On awaking, 
had a pain in the small of the back, which ceased after rising, leaving, for 
a while, a tired feeling (sixth morning),^'. — Aching distress in the small of 
the back, knees, and calves of the legs (fifth day),*'. — Dull aching distress 
in the small of the back (second day),". — Dull aching pain in the small 
of the back, aggravated by motion, at 11 a.m. (third day),". — Became 
conscious of a dull aching pain in the small of the back ; motion adds a 
sharp sticking pain to the dull one (fourth day),'°. — On getting up, had a 
feeling of lameness in small of back (second day),^. — Severe backache, 
worse in lumbar region, at 2 p.m. (sixth day),^ — -[730.] Severe aching dis- 
tress in the whole lumbar and sacral region, in the afternoon (third day),*b. 
■ — Awoke with severe pain in the lumbar region (fourth day),'\ — Awak- 
ened, at 4 A.M., by the severity of the lumbar pain (fifth day),'°. — Lumbar 
pains aggravated, with stitching pains in the right hypochondriac region, 
which is swollen (after eight hours, fifth day),"". — Feels lame in the region 
of the kidneys, on waking (seventh morning),^". — (Thinks the provings 
have improved the condition of the kidneys),*". — Very severe pain in right 
kidney .(tenth day),". — When walking, a cramplike pain in the sacral 
region, left side, so severe that he has to stand still until it passes oft' (tenth 
day),^". 

Mactremities. — Aching of all the limbs, especially of the flexor mus- 
cles (sixth day),''. — Aching in the limbs, in the afternoon (sixth day),". — 
[740.] Awoke at 6, with a bruised sensation in all the limbs, especially 
worse in the muscles of the back. The sore bruised pain was increased by 
pressure with the fingers (fifth day),"*. — Aching distress in all the joints, 
especially in the knees, ankles, and feet (first day),". — Severe aching dis- 
tress in the wrists, knees, ankles, and feet, all the afternoon (second day),*'. 
— Dull aching distress in the hands, fingers, knees, and ankles (third 
day),*°. — In the afternoon, constant drawing pains in the wrists, knees, and 
ankles, worse in the right knee and right wrist and fingers (first day),*'. — 
Drawing pains in the fingers and ankles, with distress in the right hypo- 



PTELEA TRIFOLIATA. 197 

choudrium and epigastric region (after six hours, fifth day) ; not so severe 
(sixth day)/''. — Drawing pains in the hands and ankles, at 5 p.m. (fourth 
day),"". — Hard, dull, aching pains in the wrists, hands, fingers, and ankles 
(after eleven hours),'*'. — Rheumatic pains in right leg and arm, at 6 p.m. 
(third day),°. — Dull rheumatic pain in anterior muscles of right femur and 
humerus, which disappeared after getting up (fourth morning),^ — [750.] 
Rheumatic pains in the wrist, hands, fingers, knees, and ankles (after six 
hours, second day),''". — Pain in all the limbs, with feverish heat and nausea 
(second day),^ — Wandering pains about the limbs, on rising (seventh and 
tenth morniugs),'°\ — Weary feeling in the limbs (seventh day),^ 

Superior Extremities. — Dull feeling, with sensation of weakness 
in upper extremities, which lasts all day ; towards evening, the weakness 
extends to lower extremities (second day),". — Shoulder. Stitches in 
shoulder and hip, at 4 p.m. (first day),^ — Dull pain in left shoulder-blade, 
at 9 P.M. (first day),^ — Pain in shoulder, near the spine of right scapula, 
and behind right ear, on waking from nap, at 5 p.m. (fifth day),^ — Shoot- 
ing pains through shoulder and chest (eighth day),^ — Transient rheumatic 
pains in right side and right shoulder-blade, at 2 p.m. (sixth day),^ — 
Arm, [760.] Rheumatic pains in arms (seventh day),^ — Had a few 
sharp pains iu the arms, in the morning (fifth day),''. — Some pain in left 
biceps muscle, in the afternoon (fourth day),^ — Elbow and Forearm. 
Drawing pain in the left elbow (after one hour and fifty-five minutes),'". — 
— Several times through the day had drawing pains in right elbow-joint 
and fingers (sixth day),*\ — In the evening, while riding in cars, had a 
severe pain in right forearm, lasting several minutes ; the pain seemed to 
be in the flexor muscles of the forearm (tenth day),". — Hdnds and 
Fingers. Nervous trembling of hands (third day),". — Hands and fingers 
ache constantly (third day),''". — Feeling in hands like that produced by 
electricity (one hour and a half after fourth dose),'\ — Prickliiig numbness 
in hands ; sensation as if they were cold, and larger than usual (one hour 
after fourth dose),'". — [770.] Tingling in hands and fingers (four hours and 
a half after fourth dose),''. — Sensation of cold and numbness in hands ; 
they feel clumsy and stiffs with tingling and prickling ; as if recovering 
from cold (after three hours, second day),'. — ^Fine sharp pains in the fin- 
gers (second day),''. — Frequent fine pains in the fingers and region of the 
spleen (after eight hours),''.— -While in bed in the evening, had fine prick- 
ling pains in the fingers (fifth day),'. 

inferior Extremities. — Weakness and depression all over the 
body, especially in lower extremities, in the forenoon (fourth day),^ 
Peels a trembling and weariness in the lower limbs, at 10 a.m. (first day),' 
Soreness and weariness in lower extremities, in the forenoon (third day),^ 
Aching in the lower extremities, with the general malaise (fourth day).". — 
Severe pain in the lower extremities, worse on standing (fifth day),". — 
Hip and Thigh. [780.] Pain sometimes in the right hip (seventh and 
tenth days),'"*. — Stitches in hip and shoulder, at 4 p.m. (first day),^- — • 
Throbbing pains in left hip, lasting only a few minutes, at 9 a.m. (seventh 
day),"\ — Severe, sharp, darting pains in the right thigh ; pains seem to be 
muscular, and lasting for several minutes (second night),". — Aching pains 
in the back part of the thighs (fourth day),''. — Throbbing pains iu gluteal 
region (eighth day),"'. — Ktiees and Legs. Aching distress in the knees 
and calves of the legs and small of the back (fifth day),'*. — Had very 
severe aching distress in the right knee, all the evening (first day),*". — • 
Rending pains around the left knee, which come and go rapidly (after four 



198 PTELEA TRIFOLIATA. 

hours and thirty-five tninutes')/°. — Drawing pains in the knees and flexor 
muscles (fifth day),'°. — [790,] Sticking pain in left knee, at 9 p.m. (first 
day),^ — Legs weak, during the forenoon (fifth day),''. — Legs ached all day 
(fourth day),*. — Aching distress in legs, back, and bowels, all the forenoon 
(fourth day),''^ — Legs and back ached, all the afternoon (sixth day),*^ — 
Legs ached, all the afternoon, until 7 p.m. (seventh day),*^ — Aching dis- 
tress in the calves of both legs (first day),*". — Severe pain in the left leg, 
three inches below the knee (after two hours, second day),". — Pains in the 
right leg, below the knee, extending to the ankle (seventh day),". — Ach- 
ing drawing pains in the left ankle, aggravated by motion; the pain ex- 
tends up the calf of the leg (after one hour and fifty-five minutes),''. — 
[800.] Drawing pains in the left heel (after three hours),*'- 

Generalities. — Restless and in pain, all over the head, stomach, and 
bladder (after fourth dose, third day),^. — Arose feeling restless and uneasy 
(fourth day),'. — Restless and uneasy ; unable to sleep (first night),''. — 
Labor performed in a perfunctory manner (second day),". — Weakness, 
with disinclination to move or study (fifth day),". — Weakness of the whole 
body (twenty-first day),''^ — Weakness of the whole body; the walls of the 
chest especially feel as if they would sink in (ninth day),^. — A feeling of 
weakness through the whole body (thirty-first day),"". — General feeling of 
muscular weakness ; inclination to avoid all exertion, mental and muscu- 
lar ; sensation as if the nervous system were resting (half an hour after 
fourth dose),''. — [810.] Weak and irritable, all the forenoon, with the 
frontal headache (fifth day),''. — Pelt weak in every limb, weak in brain, 
weak in memory, thought, and will, as if a powerful and all-pervading dis- 
ease had fastened upon him (third day),''. — Felt extremely weak, all day 
(third day),''. — Weariness, at 11 a.m. (fifth day),''. — Unusual fatigue after 
slight exertion (first day),l — Strong inclination to lie down and rest (third 
day),'*. — Some lassitude (second day),\ — Less energy than usual (tenth 
day),'"*. — Great lassitude and weariness throughout the afternoon (first 
day),^ — Extreme lassitude (fourth day),". — [820.] Excessive languor, 
with a feeling as if he had fever (after eight hours, fourth day),*''. — Lan- 
guid feeling (first day),*'. — Awoke very languid (second day),*'.— :Languid 
and feverish (after six hours, second day),*'. — Languid, with dull feeling of 
the head (after ten hours, second day),*'. — Languid (third day),*'. — Very 
languid, from noon until 6, with a flushed face, and a feeling as if I had 
fever (third day),**. — Feeling rather languid, at 9 p.m. (third day),°. — Felt 
languid and lazy; had no inclination to stir; aversion to all muscular 
exertion (one hour after second dose),". — Languid all day (first and fifth 
days),**. — [830.] Very languid all the afternoon (second day),**. — Great 
languor, all the forenoon (fourth day),**. — During the afternoon, a sensa- 
tion of languor and weariness spreads over the whole system (third day),^ 
— Very languid ; energy entirely gone (fourth day),l — Languid and dull, 
with little inclination for either mental or physical exertion (after three 
hours),''. — Awoke at 7 a.m., languid and unrefreshed (third day),". — 
Awoke languid and unrefreshed, aud with the feeling of being mentally 
unequal to the business of the day (fourth day),"". — Languid and unre- 
freshed, on waking (second day),'. — In the morning, weak and languid 
(second day),'^ — A dull stupid feeling, all day (sixth day) ; a feeling of 
dulness, and inability to pursue studies (seventh day),". — [840.] General 
feeling of malaise, with aching in the lower extremities, and premonitory 
symptoms of fever (fourth day),". — Usual feeling of malaise, on retiring 
at 9 p.m. (fourth day),l — Feeling of malaise (sixth day),l — Malaise during 



PTELEA TRIFOLIATA. 199 

the afternoon (first day) ; general malaise (fourth and fifth days)/\ — All 
the afternoon felt a curious malaise, which prevented him from doing busi- 
ness with alacrity (third day),'*. — Oppression (fourth day),'. — General 
feeling of intoxication (half an hour after second dose, third day),'°. — Sen- 
sation as if all objects were in violent agitation ; nothing seems to be at 
rest (after second dose, third day),''. — Sick and faint, with a sudden shrink- 
ing from any mental work (soon),''. — Very sick indeed (after eight hours 
and thirty -five minutes),'". — [850.] Feel sick all over and indifferent to 
duties, in the afternoon (fifth day),^ — A faint feeling ou waking (seveuth 
morning),^ — Sick (after second dose),'". — Feeling very sick, at 7 p.m. 
(third day),''*. — General soreness of the body, on rising (seventh and tenth 
mornings),'"*. — Arose feeling sore, tired, and sick, at 5 a.m. (third day),^". 
— Arose, feeling sore, tired, and disgusted with everything (fourth morn- 
ing),'^*. — Head, back, knees, and calves of legs continued aching severely 
all day, with rheumatic drawing pains in the elbows and bowels (fourth 
day),''*. — Rheumatic symptoms, for several days,*'. — Nervous pain, alter- 
nating from the left arm to left eye and parietal region (soon),''. — [860.] 
Pains to-day worse on the right side (seventh day),". — Felt much better 
to-day till half past 4, when the pains of the extremities, back, and head 
all returned (eighth day) ; pains in head, limbs, etc., not so severe (ninth 
day),". — Felt very badly all day (fifth day) ; better in the morning, but 
in the afternoon felt quite badly again (sixth day),". — Felt better in the 
morning, but in the afternoon and evening much worse again (seventh 
day),". — No symptoms after supper (third day),'. — Symptoms aggravated 
towards evening and ou lying down ; ameliorated on motion and on ris- 
ing,''^ — Right side principally affected ; symptoms more from right to left, 
from above downwards, and from within outwards,^''. — Symptoms amelio- 
rated, towards evening (third day),°. — All the former symptoms, but greatly 
ameliorated (tenth day),". — All the symptoms ameliorated by a walk in 
the open air (after one hour and three-quarters),'". — [870.] All the symp- 
toms are bettter in the open air (second day),'". — All the symptoms have 
declined to-day, especially the headache (seventh day),'".— All the symp- 
toms aggravated in a hot room and ameliorated in the cool air (first day),'^ 
— All the symptoms are aggravated in the warm room and ameliorated in 
the open air, though they are wor.se on commencing motion (sixth day),"". 
— At supper ate some. sour apple-sauce, when all the symptoms became 
milder and gradually disappeared (seveuth day),'^ — In the evening, ame- 
lioration of all the symptoms; though still languid and drowsy (third aud 
fourth days),'. — At 4 p.m., ate a bunch of somewhat tart grapes, and all 
the symptoms disappeared; the nausea and headache were entirely removed 
in a few minutes (first day),'^. 

Skin. — During the last three or four days there was a peculiar reddish- 
clouded appearance of the skin over the whole body, which disappeared 
two days after discontinuing the drug,'". — Skin dry and parched (third 
evening),'''*. — Eruption under the right ear, discharging a watery fluid (fifth 
day),'*. — [880.] Right ear inflamed and somewhat swollen (twelfth day); 
right ear broke out jn white blisters on red base ; copious discharge of a 
watery fluid on puncturing ; shooting pains in ear when lying on that side 
(thirteenth day) ; vesicles on ear dried up and cuticle desquamating; ach- 
ing in outer edge of ear when lying down, relieved by pressure (fifteenth 
day),^ — In evening, intense itching of right ear (twenty-fifth day) ; ear 
swollen, little white vesicles rising under epidermis (twenty-sixth day) ; 
swelling of ear increasing (twenty-seventh day) ; the white vesicles in ear 



200 PTELEA TRIFOLIATA. 

assumed a purple tinge (twenty-eighth day) ; ear not so much swollen 
(twenty-ninth day) ; desquamation of cuticle of right ear ; the blisters dis- 
charged water (thirtieth day) ; stinging pains in right ear; great soreness 
of the ear during the day ; the blisters on the ear scab over, and become 
filled with a greenish-looking pus, at 5 p.m.; pains in ear of intense throb- 
bing nature, worse on moving and exposure to the air; when walking, 
wants to hold his hand over it; sometimes pains shoot from it to the boil 
on forehead (thirty-second day); face swollen in front of right ear and 
painful to the touch ; the ear is not painful to-day; some pus is discharged, 
and the scabs desquamate (thirty-third day) ; ear healing up (thirty-eighth 
day),"'. — A boil began to make its appearance on right side of forehead 
(the first in his life), (twenty-sixth day); it discharges some pus every day 
(thirty-eighth day); it discharged no more (after forty-five days),. and by 
the forty-eighth day it had entirely disappeared. About the same time, 
another one made its appearance on right side of the chin, which continued 
painful until the fifty-third day, when it discharged some purulent matter, 
and then began to pass off; by the fifty-sixth day it was all gone, and from 
that date he experienced no symptoms,'*'. — Red spots on lower extremities, 
alike in position on both ; after an hour or so, they would change to a 
purple color; there would be no itching quite near or on the spots, but 
around on the healthy skin; itching not so annoying while perspiring 
(fourth day). An hour before breakfast counted as many as fifty spots on 
various parts of the body, most of them on upper and lower extremities, 
one or two on the chest; itching more confined to the trunk (fifth day). 
Discontinued the use of the drug for two weeks, during which time the 
itching continued as annoying as ever; by getting in the least degree ex- 
cited or warmed, the spots would be as red as ever, but in an hour or so 
would subside and assume a purple hue; after the expiration of two weeks 
could see where the spots had been ; the itching was as annoying as ever; 
it did not produce any disorganization of the skin ; as the spots disappeared 
they became of a dirty-yellow color, somewhat like that left by a bruise,'. 
— A slight bruise on the large joint of little finger of right hand inflames 
and suppurates, causing painful tension' of the fingers of that hand (thirty- 
fifth day) ; vesicular eruption on right hand, commencing at the sore on 
little finger and gradually extending upwards (thirty-ninth day) ; the 
eruption appears under right ear, and gradually extends over the whole 
face and neck and on right hip ; burning and itching sensation in the 
eruptions ; on scratching they discharge water (fortieth day) ; burning in 
eruptions, increased on exposure to air; much worse to-day than yesterday 
(forty-first day) ; no more burning or itching ; the eruptions began to dis- 
appear (forty-second day) ; all gone, and desquamation of the cuticle set 
in (forty-fifth day),"'. — A lame spot on inside of right knee, as large as a 
penny, on waking from afternoon nap (fifth day) ; still felt (sixth morn- 
ing),^ — It occasioned quite an irritation of the skin. The itching was so 
intense all over the body that she could not be induced to continue the 
proving longer. She described it as so many thousand fleas on her; could 
not refrain from constant scratching; the itching was not worse at night,^ 
— Itching of the right ear, at 6 p.m. (eleventh day),^ — Intense itching on 
back of rigiit hand (thirteenth day),"'. — A prickling in lower extremities, 
almost like that of pins, mostly in popliteal space; on scratching, it burns 
like fire, but no change in color of the skin (after second dose, third day); 
burning in the skin of lower extremities, like fire; could get more relief 
from rubbing than scratching (third night),^ 



PTELEA TRIFOLIATA. 201 

Sleep. — Sleepiness, [890.] Constant inclination to yawn (after 
eight hours, fourth day),''^ — A 3 p.m. drowsiness succeeded pain in umbili- 
cal region, and the slightest effort seemed to weary (seventh day),'''. — Drow- 
siness, in the afternoon (sixth day),". — -Drowsiness (one hour after third 
dose),". — Extraordinary inclination to sleep (sixth day),\^ — Sudden sleepi- 
ness (after thirty-five minutes),'". — Ten hours of sound refreshing sleep 
(fifth night) ; slept ten hours (sixth night),^ — Sleepiness excessive ; went 
to bed at 8 p.m. (sixth day),\ — Slept soundly all night (second, third, and 
fourth nights); retired- at 8, and slept soundly all night (fifth night); went 
to bed early, and slept soundlj' all night (sixth night) ; after a walk, lay 
down and slept three hours, in the afternoon (eighth day),^^ — Sound sleep 
all night, but haunted by frightful dreams (third and fourth days),'. — 
[900.] During the night heavy sleep, with less vivid dreams than on the 
previous night (second day),'^ — Sleep heavy, and troubled with dreams of 
robbers, etc. (third night),". — Sleep from 5 A.m. to 7 a.m.; languid and 
tired on awaking (fifth day),\ — Sleeplessness and Dreams. Awoke 
about 2 a.m. with severe pains in forehead, roaring in the ears, and very 
severe pain in right kidney ; very restless and uneasy, rolling and tossing 
about ; could not get to sleep for a long time from pain and restlessnes ; in 
the morning felt some better; pain in kidney relieved (tenth day),". — 
Eestless night, full of dreams, with some fever (seventh night),^ — Restless 
and tossing, and some difficulty in falling asleep (first day),'°. — Sleep rest- 
less and uneasy, awaking unrefreshed and languid (ninth night),'. — Rest- 
less night (second night),'''. — Rolled around till after midnight, when sleep 
gave some intermission to the constant pain (third day),''*. — Awoke at 7 
A.M. tired and unrefreshed, after one and a half hours' sleep (second day),''. 
— [910.] Sleep unusually deep and heavy (first night) ; sleep broken and 
restless, and at waking intervals hardly able to determine whether sleeping 
or waking (second night),"*. — The sleep during the night was heavy, but 
restless, with fantastic dreams, practicing medicine among people of gigan- 
tic stature ; suddenly the scene would change, and his patients were about 
the size of peas (third night),'". — Sleep heavy and dream-haunted (fourth 
night),'". — -Sleep uneasy and unrefreshing, and with more annoying dreams 
than before (sixth night),'". — Restless sleep (first night),'. — At a quarter 
past nine, on awaking, was attacked with a kind of nightmare; quite con- 
scious, but unable to stir on account of a pressing weight in the stomach 
and whole front of the trunk (sixth day),'. — -Dreamed of armies of soldiers 
rising out of their graves and marching into the house (third night); 
dreamed of enemies prowling about the house (fourth night),"'^ — Awoke 
during night with nightmare (third night),'*. — Sleep disturbed by dreams 
(fifth night),^; (third night),^ — Sleep dream-haunted (third night),".— 
[920.] One long and remarkably vivid dream all night till four (fifth 
night), '°. — Unpleasant dreams during the whole night (first night) ; sleep 
broken by dreams, at first of a frightful nature, but towards morning las- 
civious (third night),'". — The dreams during the night were so vivid and 
lifelike as to seem, on waking, as if he had been up all night (first night),'*. 
—Slept well until 2 a.m., when he awoke, dreaming of fighting (first night) ; 
most frightful dreams ; dreamed of getting whipped and killing snakes 
(second night); dreamed as before (third night); could go to sleep quite 
easily; was able to sleep only a short time, awaking from horrible dreams, 
and covered with a profuse perspiraiion (fourth night),'. — Dreamed of dead 
animals (second night),". — Had dreams of food, and awoke hungry (third 
night); slept pretty well, but had some dreams of food (fourth night),\ 



202 PTELEA TRIFOLIATA. 

Fever. — Chilliness. Chilliness and shivering over the whole body; 
could not keep warm, even by sitting over the stove (soon),'". — Shivering 
in a warm room, and the head hot (after forty-five minutes),'". — Shivering 
from the hips downwards (after forty-five minutes),'". — Shivering, with 
chattering of the teeth ; scarcely comfortable near a large fire (after one 
hour and ten minutes),'". — [930.] Chilliness and shivering accompanied 
passage from bowels (after two hours and thirty-five minutes),'". — Shud- 
dering and horripilation (after three hours and twenty minutes),'". — Dur- 
ing the stool, shuddering, with chilliness of the sacral region (second day),'". 
— Chilliness, with great sensitiveness to cold air, and desire to be near the 
fire (fourth day) ; chilliness, and extreme sensitiveness to cold air (fifth 
day),". — At times cold streaks run up and down the spine (twenty-first 
day),"'. — Frequent shuddering sensations,". — Heat. Feverish (half an 
hour after fourth dose),'. — On awaking, fever (second day),l — Somewhat 
feverish (eighth day); feverish (ninth day),''. — Flushes of heat, alternating 
with chilliness, all through the day (first day),'. — [940.] Feverish heat, 
lasting all day, accompanied by pains in all the limbs, and nausea (second 
day),'. — Felt feverish, irritable, and intolerant of noise (fourth day),". — 
Hot and feverish all day (twelfth day\'. — Awoke towards morning feeling 
somewhat feverish (fourth night),*. — Hot flushes and slight headache, at 2 
P.M. (seventh day),°. — Some fever (seventh night),^' — Dry heat over the 
whole body, especially on the palms of the hands (first night),'". — Dry heat 
over the body, with sweat on the forehead (third day),'". — Dry heat, most 
on the parts Avhere the pain is worst (sixth day),"". — Hot, dry feeling over 
the whole body, with a sensation as of having slept without undressing, or 
having sat up all night (fifth day),'^ — [950.] Dry heat over the whole 
body, especially in the palms of the hands (fourth day),'". — Awoke with 
dry heat over the whole body, especially on the face and hands (sixth 
night),'*. — The dry heat over the body continues, though the feet are cold 
(seventh day),". — After dinner, heat of skin and profuse perspiration, with 
increased nausea (third and fourth days),'. — Heat of skin, at 4 p.m. (fifth 
day),'. — Head hot and feverish, with dull aching in the frontal region, 
especially on moving the eyes (first night),'". — Heat of the face and head, 
with racking frontal headache (after ten hours and a half, fifth day),". — 
Burning cheeks and hot flushes, with pulse at 96, at 2 p.m. (eighth day),^ 
— Feeling feverish ; hands hot and dry, and ache constantly (after nine 
hours),''". — Hands hot and dry (after six hours),*". — [960.] In the morn- 
ing, hands and feet hot and feverish (second day),'". — Sweat. Profuse 
perspiration on waking ; felt all the afternoon as if he would break out 
into profuse perspiration, but did not (fourth day),^ — Sweat all night 
(twenty-second night),**. — Passage accompanied by sweat on the forehead 
and head, though the morning was cool (first day),'. — Sweat on forehead, 
accompanying the rumbling and swelling in the umbilical region (after six 
hours),"". — Sweat on the forehead, with the rising of the bitter fluid (fifth 
day),'. 

Conditions. — Aggravation,— (roMJoj-t^jnornijijr), Gastric and hepatic 
symptoms. — {Morning), After eating, liveliness, followed by depression; on 
rising, headache; throbbing headache; on awaking, headache; before rising, 
headache through cerebrum; shooting pains in head; on rising, pressure 
in frontal region and in root of nose; on waking, frontal headache; 6 a.m., 
headache in frontal and temporal regions ; pain in right temple ; ringing 
in the ears; everything tastes and smells sour; on waking, unable to speak 
aloud; before rising, pricking pains in throat; 6 am., hunger; craving 



PTELEA TRIFOLIATA. 203 

for acid food; on rising, pain in right hypochondrium ; pain in the bowels; 
8.40 A.M., urging to stool ; 6 a.m. till 3 p.m., urging to stool ; 6 a.m., on 
awaking, desire to urinate ; on awaking, sexual desire ; before rising, sen- 
sation as of a foreign substance in larynx; backache; on awaking, pain in 
small of back; pain in lumbar region; lameness in region of kidneys; 
sharp pain in arms ; on awaking, faint feeling ; on rising, soreness of the 
body; hands and feet hot and feverish ; on awaking, perspiration. — (Fore- 
noon), Lowness of spirits; 11 a.m., unsteadiness and nervous irritability; 
headache; 11 a.m., frontal headache, lasting ten minutes; pressive feeling 
in forehead; frontal headache; pressive pain from temple to temple; cut- 
ting pains in right temple; 9 a.m., pain behind right ear; 8 am., pain in 
left ear; 10 a.m., feeling as if tongue were cut in middle and were just 
healing up ; 9 to 11 A.M., nausea; 11 a.m., oppression at epigastrium; 9 
A.M., pain in epigastrium ; pains in hypochondriac regions ; distress in re- 
gion of spleen and right side of umbilicus; 11.35 A.m., pain in spleen; 
distress in bowels, back, and legs ; 10 a.m., pain in bowels ; pain under 
right breast ; neck stiif ; weakness and depression all over body ; 10 a.m., 
trembling and weariness in lower limbs ; soreness and weariness in lower 
extremities; legs weak. — (Noon), Headache in left temple; pain in right 
mastoid process of temporal, bone ; neck feels swollen; pain in back of 
neck. — (Afternoon), Anxiety, with headache ; dulness ; 5 p.m., giddiness, 
with vertigo; giddiness; dulness; languor; pain through head ; headache; 
2 P.M., head aches and feels large ; 1 p.m., pain at base of brain ; frontal 
headache; pain in forehead and temples; pressive pain in left temple; 1.30 
P.M., pain in temporal region ; 6 p.m., pain in left temple ; 2 to 4 p.m., 
headache in left side ; 3 p.m., pain in right side of head ; 2 p.m., headache 
in occipital region; 3 p.m., pain behind right ear; 5 p.m., awoke with pain 
behind right ear and in right shoulder ; 2 to 6 p.m., burning in face ; 4 to 
8 P.M., aching of right molar teeth ; sore throat ; unpleasant feeling in 
throat; 1.30 P.M., constriction of pharynx; 4 p.m., sour rising from stom- 
ach ; 3 P.M., hiccough ; nausea ; pain in epigastric and umbilical regions ; 
5 P.M., feeling of sand in stomach ; 2 p.m., pain in region of liver ; 3 p.m., 
throbbing pain in right hypochondrium ; 4 p.m., cutting pain in right 
hypochondrium ; 1.30 and 2 p.m., rumbling in bowels ; urging to stool ; 6 
P.M., pain in back of neck ; back and legs ached ; 2 40 p.m., pain in left 
scapula and shoulder-joint; 2 p.m., backache; distress in lumbar and sac- 
ral regions; aching in the limbs; distress in wrists, knees, ankles, and feet; 
pain in wrists, knees, and ankles; 5 p.m., pain in hands and ankles; 6 p.m., 
rheumatic pain in right leg and arm ; 4 p.m.. stitches in shoulder and hip; 
2 P.M., transient rheumatic pains in right side and right shoulder-blade; 
legs ached till 7 p.m. ; lassitude and weariness ; feel sick all over ; the 
symptoms; 6 p.m., itching of the right ear; drowsiness; 2 p.m., hot flushes ; 
4 P.M., heat of skin; 2 p.m., burning cheeks and hot flushes. — (Towards 
evening). Pain in head ; the symptoms. — (Evening), 9 p.m., while reading, 
headache; headache; 9.30 p.m., pains in head; 10 p.m., frontal headache; 
pains in forehead and occiput; pressive pain in right temple; 7 p.m., head- 
ache in left zygomatic region ; 10 p.m., headache in temporal region ; pain 
in left side of head ; pain in head ; after going to bed, pain over eyes ; 
pain behind right ear; roaring in the ears; 7 p.m., lower molar teeth ache; 
aching of right molar teeth ; teeth sensitive and painful ; 8 p.m., throat 
sore; 9 p.m., constriction of pharynx ; nausea; 9.30 P.M., nausea and rum- 
bling in bowels ; 9 p.m., unpleasant sensation in stomach ; distress in right 
hypochondrium ; uneasiness in umbilical region ; 8 p.m., pain in umbilical 



204 PTELEA TRIFOLIATA. 

region ; after going to bed, colicky pains in umbilical region ; pain and 
rumbling in bowels; colicky pains in small intestines; 9 p.m., in bed, sharp 
pain across abdomen ; before stool, colicky pains in hypogastrium ; 7 p.m., 
tenesmus; urging to stool; throbbing pain from glans penis to left pubic 
region; when breathing, walls of chest feel as if they had not the power to 
expand ; pain in lower part of lung; 9 p.m., pain in back of left breast; 7 
P.M., backache ; pain in left shoulder-blade ; while riding in cars, pain in 
right forearm ; in bed, prickling pains in fingers; aching distress in right 
knee; 9 p.m., sticking pain in left knee; on retiring, feeling of malaise; 7 
P.M., sick feeling. — {Night), 1 to 5 a.m., mind wandering; when retiring at 
10.30, head confused and giddy; 11 p.m., sudden attack of vertigo; frontal 
headache ; 12.45 p.m., shooting pain through temple, with headache and 
nausea; 11.15 p.m., dryness of mouth; 1 a.m., rising of bitter fluid; heart- 
burn, with sensation of agitation of all the muscles ; weight in stomach ; 1 
a.m., awakened by pressing pain in stomach ; 10 p.m., pain in right hypo- 
chondriac region ; 1 a.m., awoke with pain in abdomen ; pain in bowels ; 
pressure in rectum ; wheu lying on back, pressure on the lungs; pain in 
back; restless, with dreaming; sweat. — {Open air), Pain in ear; burning 
in eruptions; thoracic symptoms. — {On mvaking). Mouth parched; weight 
in stomach, with bloating of the a,hdomen.^{ After going to bed). Aching 
of right molar teeth. — {In bed). Griping pain in epigastrium ; abdomen 
swollen. — {Bending body). Cramplike pain in cardiac region ; soreness about 
abdomen. — {Bending forward). Vertigo. — {At breakfast), Repugnance to 
butter. — {After breakfast). One hour, weight and fulness in stomach. — 
{Deep breathing), Pains in upper part of posterior mediastinum. — {Butter), 
Epigastric pain.— (C/iee.se), Gastric and hepatic symptoms. — {Chewing), 
Pain in temples. — {Coughing), Head feels as if it would hu.rat.—{I)escend- 
in^stairs), Pain in left lung. — {At dinner), Food tasteless; repugnance to 
butter and to animal food. — {After dinner), Nausea; burden in stomach; 
empty feeling in stomach ; heat of skin; profuse perspiration. — {After eat- 
ing). Pudding, all the symptoms; roast beef and pudding, pain and distress 
in stomach. — {Exertion), Slight, pain in left scapula. — (Inspiration), Full 
and deep, pain in epigastric region ; deep, pain in right hypochondriac re- 
gion ; stitch from umbilicus to backbone; pain in bowels; full, pain shot 
from sternum toward nipple. — (Lifting eyebrows). Pressure over eyes. — 
{Lying down), Nausea; the symptoms. — -{Lying on bach). Pressure in ab- 
domen. — {Lying on left side), Weight and pain in liver; liver heavy and 
sore.— {Lying on part). Pain in right ear. — {Light meal). Pressure at pit of 
stomach ; pressure on stomach. — {After a meal). Sensation of stuffing and 
fulness ; pain at stomach ; hepatic pains. — -{Mental exertion). Headache. — 
{Motion), Sudden vertigo ; headache ; rapid sharp pain in epigastric and 
hypochondriac regions; pain at stomach ; sudden aching and pain in ab- 
dominal region ; abdominal pain ; pain in left iliac region ; pain in small 
of back; drawing pain in left ankle. — {Moving eyes), HeaAache; frontal 
headache. — {Noise), Frontal headache.— (Pressure on intercostal spaces), 
Pain. — {Pressure), Pain in epigastrium ; nausea ; pain in stomach ; liver 
sore and tender; bowels tender; tenderness of abdomen ; griping; of fin- 
ger, bruised sensation in all the limbs. — ( When reading). Unable to follow 
the train of thought; headache. — (Recumbent position) , Pain in upper part 
of posterior mediastinum. — (Deep respiration), Pain in epigastrium. — (Ris- 
ing from a c/taiV), Vertigo. — (Rising), Giddiness; pain in brain and stom- 
ach ; nausea ; pressure in rectum ; lameness in small of back. — (In a hot 
room). The symptoms. — (Rolling the eyes upward), Frontal headache. — 



PTELEA TRIFOLIATA- PULSATILLA. 205 

(Singing), Headache; nausea. — (Sitting erect), Weight in hypochondria. — 
(Speaking), Nausea; continued, stitching pain in diaphragm ; pain in epi- 
gastrium. — (Standing), Erect, weight in hypochondria; aching in bowels; 
pain in lower extremities. — (Stooping), Vertigo; headache; frontal head- 
ache. — (Before stool). Itching and smarting of anus. — (During stool), Shud- 
dering and chilliness of the sacral region. — (After stool), Eumbling in bow- 
els; tenesmus; distress in anus; smarting like piles. — (Studying), Pain in 
head. — (After supper). Pain in epigastric region. — (Touch), Tenderness of 
liver. — (Ihorning head),Yert\go.—( When urinating). Smarting sensation in 
urethra. — (After urinating), Tickling in urethra. — (During vertigo). Pain 
in posterior mediastinum. — (After vertigo), Abdominal tenderness. — ( Walk- 
ing), Vertigo; dizziness; headache; nausea; aching in bowels; cramplike 
pain in sacral region. — ( War mth), V ertigo ; headache. 

Amelioration.— (Morning), After rising, headache through cere- 
brum ; pain in small of back ; pain in muscles of femur and humerus; the 
symptoms. — (Afternoon), 4 p.m., sore throat; 1 p.m., pain in bowels. — (To- 
wards evening). The symptoms. — (Open air'). The symptoms. — (Breakfast), 
Distress in stomach. — (After breakfast), Headache and hunger. — (After eat- 
ing). Sour apple-sauce, the symptoms; tart grapes, the symptoms. — (Lying 
on right side). Weight and pain in liver. — (Motion), Colic ; pain in ear ; 
the symptoms. — (Moving about), Vertigo. — (Pressing head with hands). Pain 
through brain. — (Pressure), Aching in the outer edge of ear; pain in right 
hypochondrium ; pains around umbilicus ; colicky paiu in umbilical region. — 
(After stool). Headache. — (Stooping forward), Weight in hypochondria. — 
(Rising), The symptoms. — ( Walking in open air), The symptoms. 



PULSATILLA. 

Anemone pratensis, Linn. (Pulsatilla pratensis, Mill.), officinal " Herba 
Pulsatillas nigricantis." 

Natural order, Ranunculaoese. 

Common names, Wiesen-Kiichenschelle. 

Preparation, Tincture of the whole fresh plant. 

Authorities. (Nos. 1 to 11 from Hahnemann, R. A. M. L., 2, 273.) 
I.Hahnemann; 2, Fr. Hu.; 3, Hornhurg; 4, Michler; 5, Ruckert ; 6, 
Stapf ; 7, Bergius, Mat. Med., p. 519 (general statement, Hughes), from 
Anemone sylvestris, L.; 8, Hell wing, Flora campana. Lips, 1719, p. 86, see 
note by Hahnemann to symptom 776; 9, Hcyer, in Crell's Journ., 2, p. 205 
(not found, Hughes) ; 10, Saur, in Bergius Mat. Med., p. 517 (effects of em- 
anations of evaporating juice, Hughes); 11, Aut. v. Storck, von der Pulsa- 
tille, Frst., 1771 (observations, chiefly on patients, Hughes) ; 12, Lembke, 
N. Z. f. Hom., Klinik, 8, 145, took tincture 2 drops, first day ; 5 drops, 
fifth day ; 20 drops, ninth day ; 30, twelfth day ; 40, fourteenth and nine- 
teenth days ; 50, twenty-second and twenty-ninth days ; 60 drops, thirty- 
fourth day; 13, Dr. Robinson, Br. J. of Horn., 25, p. 328, a young woman 
took a pill of the 30th every second morning ; 14, same, a young woman 
took the 200th in water every third morning ; 15, same, a woman took 
30th in water every night ; 16, same, a man took 200th in water night and 
morning ; 17, a young woman took 200th in water, one dose, same ; 18, 
same, a young woman took one dose of 200th ; 19, same, a young woman 
took 30th in water every third morning ; 20, same, a young woman took 
30th in water every third morning; 21, same, a young woman took every 



206 PULSATILLA. 

second morning, in order, the 1000th, 200th, 30th, and 12th ; 22, Berridge, 
Am. J. Hom., Mat. Med., 8, 128, a man took a dose of the " 16 m.," Fincke ; 
23, Davis, J. E. L., MS. proving, constant effect of the 3d dil. ; 24, Wen- 
zel. Trans, of the Alumni Ass. of the Hasp. Coll. of Med., Louisville Med. 
News, 3, 114, 1877, doses of 10 drops of tincture three times a day, for 
several days; 24 a, same, increased doses; 2ib, same, 20-drop doses, thrice 
daily, for a month ; 24 c, same, a 40-drop dose ; 24 d, same continued a week. 
Mind. — Nervous excitement,^'". — After eating he seems intoxicated,'. — 
Careless ease, such as is often produced by a small dose of hasheesh,**. — 

* When evening comes he begins to dread ghosts, four evenings in succession ; 
during the day anxiety and flushing heat over the whole body, though 
the hands and face are cold and pale,\ — He wishes now for this, now for 
that employment, but whea given to him he will have nothing to do with 
it (after ten hours),^t — * Satisfied with nothing, yet not vexed,^. — *The child 
longs now for this, now for that, even with a good humor, '. — * Extremely capricious 
and peevish at everything , even at himself,^. — Envious, avaricious, unsatisfied, 
greedy, he would gladly have everything, to himself,'. — [10.] ^Everything 
disgusts him; he seems averse to everything ,^ .\ — * Anxiety at night, as from 
heat,'. — Nightly anxiety on waking, as if he had committed a crime,'. — 

* Anxiety in the evening, after going to sleep, with a rush of ideas and deter- 
mination of blood to the head, that forces him to get up (after five hours),'. — 
*A tremulous anxiety, aggravated during rest, while sitting and lying, re- 
lieved by motion,^. — * Anxiety ; does not know what to do (before an hourj,'. — 

* Anxiety, thinks to die (after one hour),'. — '^Anxiety in the region of the 
heart, even to suicide, in the evening, associated with a sensation of qualmish- 
ness in the pit of the stomach,^. — Anxiety, as if he would have apoplexy, in 
the evening, after lying down, with chilliness, sounds in the ears like music, 
with twitching in the fingers of the right hand (after half an hour),'. — 

* Tremulous anxiety, as if death loere imminent (after one hour),'. — [20.] 
Anxiety in the afternoon, with trembling of the hands, that are spotted 
red, but not hot,'. — * Anxiety, as if he were in a hot atmosphere,^. ^ — Anx- 
ious solicitude about his health,'. — Solicitude about his household matters, 
in the morning,'. — He was very quiet,'. — It seems so quiet in her head and 
everything feels so empty that she seems alone in the house and in the 
world ; she will speak to no one, just as if her surroundings did not exist, 
and she paid attention to no one,'. — Very discontented, weeps a long time, 
in the morning, after waking,'. — *She cried a good deal, and was very low- 
spirited (naturally she is quite the contrary),'^ — *He sinks into a condition 
of sadness and despondency from disagreeable news (after twenty hours),'. — *A 
gloomy, melancholy mood set in (after four hours)*'. — ^[30.] *Hypochondriac 
moroseness ; is out of sorts with everything,'. — *Morose, lachrymose, 
anxious,'^. — Extremely morose, will not answer, takes everything in bad 
part, in the evening towards sundown,'. — *Morose mood, breaking out into 
weeping, whenever interrupted in his business, about 4 p.m. (after thirty-six 
hours),'. — Extreme peevishness (after six or seven days),'*. — ^Extremely ill- 
humored and fretful,^^. — * Ill-humored and discontented all day, without cause 
(after twenty-four hours),'. — *Ill-humor (after several hours),'. — *Fretful 
and without appetite, lii'ter walking about the room (after forty-eight hours),'. 
■ — '^Fretful, dread of work (after one hour),'. — [40.] * Confused, fretful, very 

t Compare 7 and 9 with 427 and 431. — Hahnemann. 
X 8, 25, 49 arc alternate conditions. — Hahnemann. 
I Compare with 1282 — Hahnemann. 



PULSATILLA. 207 

chilly^. — *Fretful, everything said to him makes him ill-humored (after half 
an liour),\ — Hasty/. — Extreme irresolution,'. — *Shuns bimness, is irresolute, 
loith sighing respiration and a feeling as if he were beside himself,'. — He is 
not indifferent to his surroundings, but he -will pay attention to nothing 
(after one hour),'. — More inclined to mental labor in the evening than at 
any other time,'.f — He cannot at all get rid of a thought that he once 
grasped,'. — * Cannot think of his business loithout grief, in the morning (after 
eight hours),'. — *A great many wandering thoughts in his head,'. — [50.] 
Could only with great effort express himself correctly, while talking,'. — 
Mental labor affects him most of all,'. — When writing he omits letters,'. — 
Inattentive, does things hurriedly, does something different from what he 
intended to do (after two hours),'. — Stops talking, it frets him to answer,'. 
Head. — Confusion and Vertigo. * Confusion of the head and 
pain in the forehead, as if it were beaten to pieces'. — * Confusion and a hollow 
feeling in the head, the head felt like a lantern,'. — ^Confusion and pain in 
the head, as on the day after a debauch, '.J — Confusion of the head; the 
thoughts vanish,'. — "^ Confusion of the head and vertigo, caused by motion,'^. — 
[60.] *Vertig'0,'. — * Excessive vertigo, like intoxication,^. — * Vertigo, as if one 
had turned in a circle a long time, associated with nausea^. — * Vertigo, he 
thought he was unable to stand (during the first hours),'. — *A kind of vertigo, 
on looking upward, as if he uwuldfall, or as if he were dancing,'-.^ — * Vertigo, 
he thought he was unable to grasp an object (during the first hours),'. — 
* Vertigo on stooping, as if he would fall down , as though intoxicated; followed 
by inclination to vomit (after six hours),'. — * Vertigo on stooping, so that she 
could scarcely rise up again,': — Vertigo, as from heaviness in the head, on 
walking and stooping, with some ivhirling that was noticed even while lying 
down,'. — * Vertigo (immediately, still more severe the next day),^ — [70,] 
*Vertigo, especially while sitting,'. — Vertigo when walking in the open 
air, disappearing while sitting,'.|| — Vertigo, as if the blood mounted to the 
head ; it beat and surged therein,'. — *Vertigo, as if caused by intoxica- 
tion,'.^ — Paroxysm of vertigo, intoxication, heat,'. — *Verti.go, as from 
drinking brandy,^. — *Vertigo in the morning, on rising from bed, on ac- 
count of which lie was obliged to lie down again,'. — Vertigo, while walk- 
ing over a high bridge (eleventh day),'^. — * Attack of vertigo while sitting 
(ninth day),'^ — *Gh-eat inclination to vertigo (thirty- fourth day),'^ — [80.] 
Attack of dizziness, as if the body were falling to the right or left, in the 
morning, on walking in the open air (eighth day),'l — Great giddiness, with 
violent acute pain in both temples (after some days),'". — Dizzy reeling, as 
from intoxication, with internal heat in the head, with paleness of the 
naturally warm face, especially iu the evening,'. — Reeling while walking, as 
if the head were dizzy, without really being dizzy, in the evening (after 
three days),'.tt — Sensation of reeling from side to side,l — General 
Head. Heaviness of the head,'.XX — Cannot support the head, cannot hold 

t Curative action. — Hahnemann. 

X Compare 1098 and 1237. — Hahnemann. 

^ Compare S. 136. — Hahnemann. 

II One of the symptoms of reaction of Pulsatilla, which always appear late, and 
seldom contrary to the condition in which the symptoms are relieved or disappear 
in the open air, but return while sitting and during rest, as may partly be observed 
in S. 175. — Hahnemann. 

1[ Compare 73 and 82 with 107 and 1277.— Hahnemann. 
tt Compare S. 976. — Hahnemann. 
Xt Compare 98, 210, 874. — Hahnemann. 



208 PULSATILLA. 

it upright, must lie down, yet cannot remain in bed,'.t — Heaviness of the 
head, cannot tolerate the glare of the lamp,\J — ^Heaviness and heat of the 
head followed chilliness of the body, in the afternoon,^. — * Cannot hold the 
head upright, cannot raise it,'-. — [90.] * On stooping it seems as though the 
head were too heavy, and he could not raise it again^. — '*A sensation in the 
head on stooping as if it would fall forward,^. — *Dnliiess of the head and 
headache, like a bruised sensation in the forehead,'. — *Dulness of the 
head, as if his memory failed (after two hours),\ — *The head seems dull and 
heavy, ^. — *The head seems dull, so that the eyes ache in the head,'-. — *Dull 
headache, especially pressive in the forehead (after quarter of an hour),^ — It 
seems as though hot air were blowing upon him and causing headache,'. — 
Headache from time to time, as if a sharp wind were blowing through the 
brain (after forty hours),'. § — Headache while lying down for the midday 
nap, in one half of the brain, in the side upon which he is not lying (after 
eighteen hours),'.|| — [100.] Boring outward headache, with dull stitches,'. 
— Headache extending into the right eye, it presses in it and tears come 
out of it,'. — Headache ; the brain seems constricted, with boring pain in the 
crown,'. — *Headache in the evening, as in stopped catarrh; followed by dry 
heat in bed and an intoxicated sleep, with delirious fantasies and almost 
waking dreams,'.^ — Headache, so that he was obliged to incline the head 
to one side,'. — * One-sided headache, as if the brain would burst, and the eyes 
woidd fall out of the head,^. — Headache, with obscuration, on coming into 
a warm roonij'.^f — Headache, as from intoxication and night-watching 
(after twelve hours),'. — Headache on waking, and for some time afterwards; 
the brain seems confused and torn to pieces, as in pernicious fever ar after 
intoxication by brandy (after six and twelve hours),'. — Headache that dis- 
appears and recurs at indefinite times, aggravated especially on walking 
in the open air,*. — [110.] *Headache as if one had eaten too much, or as 
if the stomach had been disordered by being overloaded with too much 
fat meat,'.JJ; — ^Headache, extending into the eyes, so that they ache, in 
the evening,'. — Sick headache (after six to seven days),'*. — Pressure in 
various parts of the bones of the head (thirty-fourth day), 'I — *Fressive 
headache on stooping^. — *Sticking headache,'. — Cutting headache,'. — 
* Tensive headache over the brain (after one hour),**. — ^Throbbing, pressive 
headache, relieved by external pressure (after half an hour),'.§§ — * Head- 
ache like a throbbing in the arteries of the brain (after six houi-s),'. — [120.] 
Throbbing headache, about midnight,'. — Spasmodic shuddering and jerk- 
ing in the head and whole body, on falling asleep, twice in succession dur- 
ing the afternoon nap (after eighty-six hours),'. — Whirring and a duluess 

in the head and a sleepy feeling, only while sitting,' ^Bubbling in the 

head at night; he distinctly heard the beating of the pulse in it,'. — Buzzing 

f A kind of third alternation, wliich stands between the iippearance of the symp- 
tom while sitting and its appearance while in motion. — Hahnemann. 

J This excessive sensitiveness of the eyes to the li^ht is to be compared with 170, 
2'22, 'iVi.S, T2i ; it is an alternation of the symptoms of obscuration of vision, caused 
by Pulsatilla; see S. 210, 211, 214, 216, 220.— Hahnemann. 
§ Compare with 2o3. — Hahnemann. 
II Compare 150 — Hahnemann. 
f Compare 1210,1.307, 1315.— Hahnemann. 
ft Compare 221 — Hahnemann. 
XX Couipare 509, 611. — Hahnemann. 

\l Relief by external pressure is also noticed in connection with other pains of 
Pulsatilla; compare 993 and lOOlj. — Hahnemann. 



PULSATILLA. 209 

in the head,'. — Crackling in the brain, synchronous with the pulse, on walk- 
ing,'. — Roaring in the head and still more violent roaring in the ear?, so 
that he was obliged to lie down in the evening earlier than usual,'. — 
* Stitches as if extending through the whole brain, after dinner, lasting until 
going to sleep in the evening, associated with shivering and attacks of faintness 
(after sixteen hours),'. — Forehead. Violent frontal headache,'*'. — Severe 
frontal headache, coming on in the afternoon, with much languor, prostra- 
tion, and desire to yawn, some feverishness also accompanied it (after 
some days),'^ — [130.] Sharp frontal headache,". — Headache in forehead 
and vertex (after some days),". — ■* Frequent boring i7i the right side of the 
forehead (eleventh day),''. — Pressive headache, involving the whole fore- 
head at the same time, only while walking,'. — "'Pressive pain in the fore- 
head above the orbits, involving the whole head,^. — *A constrictive headache 
above the eyes, aggravated by looking intently at anything,^. — * Tensive draw- 
ing pain in the forehead above the orbits, aggravated on raising the eyes,'.f 
— * Tearing in the left side of the frontal bone, in the evening (twelfth day),". 
— Stitches extending outward at the forehead, in the evening,'. — Crawling 
headache in the forehead (after one hour),'.| — [140.] Throbbing headache 
in the forehead, on stooping and on exerting the mind, disappearing on walk- 
ing, iu the evening,'. — Temples, Violent acute pain in both temples, 
with great giddiness (after some days),'^ — * Violent pressure in the left temple 
(ninth day),". — ^Headache in the temples, as if constricted,^. — Jerking tear- 
ing in both temples, as if they would be torn asunder,'. — Sticking and tear- 
ing in the head, especially in the temples,'. — *Sfitches in the temples,K — ■ 
PnTietals. Tearing in left parietal bone (twelfth day),". — *Frequent tear- 
ing in the right side of the head (first and second days),". — Some sharp 
thrusts or jerks in the right half of the brain (after one hour),'. — [150.] 
Tearing headache in the side on which he does not lie, after lying down to 
sleep,'.§ — Stitches in one side of the head,'. — Oocipilt. Drawing head- 
ache in the occiput, above the nape ef the neck, in the morning (after sixty 
hours),'. II — Pressive, tearing pain in the left side of the occiput, in the 
morning (after sixty hours),'. — Pressive pain in the occiput; with i'requent 
heat of the body, and constant perspiration,'. — Headache in the occiput, a 
rhythmical throbbing,^ — Tearing in the leftside of the occiput (fourteenth 
day),". — Headache; stitches extending from the occiput through the ears,'. 
— Stitches in the occiput, aggravated on lying down, disappearing on rising 
up,'. — Violent pulsation in the left side of the occiput, externally (sixth 
day),". — External Head, [160.] (A small pimple on the forehead),'. 
— A large pimple or pustule, filled with matter, on the scalp, in the region 
of the occiput, with fine tearing paius,^ — Small swellings on the scalp, 
with pains as from suppuration,'. — Pain on the scalp on brushing the hair, 
a kind of drawing pain,'. — Biting itching on the scalp (after nine hours ),'.1| 
JEye. — Eyes puffy, with a sensation as if (me were squinting,'. — [*Dry- 
ness of the eyes, and a sensation in the morning as if a foreign body were 
pressing in if], (after many hours);'. — *3rynese of the right eye, and a 
sensation as if mucus were hanging before the eye that obscured the vision 

t Compare 180. — Hahnemann. 

X Compare 210, 874. — Hahnemann. 

I Compare 99. — Hahnemann. 

II Compare 196, 210. — Hahnemann. 

T[ Compare lti2, 164 with 161. — Hahnemann. 

VOL. VIII. — 14 



210 PULSATILLA. 

and that could be wiped away, in the evening (after twenty-four hours),'.t— 
[Pain in the eye, as if it were scraped with a ki)ife],"4 — [Unusual tearing- 
boring cutting pains in the eye],".§ — [170.] Sticking pain in one or the 
other eye, almost without inflammation of the white of the eye, with intol- 
erance of candlelight; he can open the lids but little (after three hours),'. 
— Sticking in the left eye on shaking the head, with lachrymation,'. — 
* Pressure, as from sand, in the eye when reading, disappearing when he ceases 
to read, and returning on beginning to read again,^. — *Fressive pain in the 
eyes, as if there ivere heat in them,^. — *Pressive pain in the left eye,'. — *A 
pressive- burning pain in the eyes, especially in the morning and evening,'. 
— * Pressive-burning pain in the eye, as if a hair were in it,\ — *Bunimg and 
itching in the eyes, that provokes rubbing and scratching,'. — *Itehing 
sticking in the eyes, that provokes scratching (after twenty-ibur hours),'. — 
*Itching of the eyes,\ — Oi'blt. [180.] On moving the eyes, pain deep in 
the orbits, as if the forehead would fall out, and as if the frontal bone 
was too thin, with confusion of the head, in the evening (after forty-eight 
hours),'.|| — Lids. Twitching of the lids,'. — Swelling and redness of the 
][(jj, lo, — *The margin of the lower lid is inflamed and swollen, with lach- 
rymation, in the morning,'. — *Stye on the lid, with inflammation of the 
white of the eye, now in one, now in the other canthus, with drawing-tensive 
pains in the eyes on moving the muscles of the face, and with ulcerated nos- 
trils,^.^ — *The inner canthus seems agglutinated with matter, in the 
morning.'.f j — *The eyelids are agglutinated, in the morning,'. — Dryness 
of the lids, especially when sleepy (after one hour and a half ),'.^*i)r!/ness 
of the lids (after twelve hours),'. — *A biting pain and a sensation of soreness 
in the inner canthus (after eight hours),'. — [190.] *Pressive pain in the 
inner canthus^. — * Violent sticking in the eyelids and canthi, in the evening 
(nineteenth day),'l — Sticking in the right canthi (ninth day),'\ — *Itching 
(biting) and burning in the lids, in the evening,'. — *Itching in the inner 
canthi, like the healing of an ulcer, in the evening after sundown; after rub- 
bing, there is a pressive fine-sticking pain,^ . — Laclll'ymdl A/>2>ai'atl{S. 
*Lachrymation in the cold open air,'.|j; — Lachrymation of one eye, with 
drawing headache,'. — *The eyes are full of water in the wind (after ten 
hours),'. — *The eyes are full of water; they lachrymate; blear-eyed,". 
— *Weeping eyes,'. — Hall. [200.] *A red {inflamed) spot on the white of 
the eye, near the cornea (after thirty hours),'. — Itching on the eyeball, in 
the external canthus, in the evening ; in the morning the lids are aggluti- 
nated with matter (after eight hours),". — Piijiil. *Pupils dilated,^ — The 
pupils are at last dilated,'. — The pupils are contracted at first,'. — Vision, 
Great acuteness of vision for distant objects,'.§§ — -^Dimness of sight (after 
six to seven daysj,'*. — *Dimness before the eyes and lachrymation in the 

f A similiir diiiino.-s of vision frequently occurs in Pulsatilla in the morning after 
waking and iu the afternoon after ihe midday nap, as if something adhered to the 
cornea that obscured the vi^ion, moi-e in one eye, less in the other; it seems as 
thoufih this could be wiped nff, but it cannot be removed until the symptom dis- 
appears of its own accord. — Hahnkmann. 

J In a ease of chronic ophthalmia. Bracket the symptom — HuQHKS. 
j Bracket symptom In a case of chronic amaurosis, coincident with improve- 
ment of virion. — Hughes. . 
II Compjire 105 and 180 with 877, 971, 1079.— Hahnemann. 
\ Ciimpare '2H7, 2()9, 274, 1133 — Hahnemann. 
f f Ocmipare 19H, 1132. — Hahnemann. 

XX !9j, 197, 207, comprise an alternate action with 166, 188. — Hahnemann. 
jj Curative action after a large dose. — Hahnemann. 



PULSATILLA. 211 

open air,'. — *Dimness of vision, like a fog before the eyes,". — *Weak vision,". 
— [210.] Vision and hearing vanish, with a drawing headache and a sen- 
sation of heaviness and crawling in the brain, followed by chill, '.f — Obscu- 
ration of vision recurring several days in succession,'. — * Obsauration of 
vision, with inclination to vomit and paleness of the face,^.1^ — * Dizzy obscura- 
tion of vision after sitting, on rising and beginning to walk about (after twenty- 
four hours),'. — * Obscuration of vision, like a fog before the eyes, on rising 
from a seat and walking (after twenty-four hours),'. — * Obscuration of 
'vision,^".^ — *Transient obscuration of vision,'. — Cloudiness of vision, with 
a kind of flashing of fire, as though she had had a slap in the face; this 
happened several times throughout the day (after some days),'^ — Astheno- 
pia and photophobia,^". — Double vision (after several hours),'. — [220.] 
*It seems dark before the eyes, in the morning, on rising from bed,^. — *Dur- 
ing the menses it became black before the eyes, and she felt worse on 
gfoing into a warm room,'.|| — (Flickering before the eyes),'. — *Tbe flame 
of the light seems surrounded by a starry halo,'. — Fiery circles are seen 
before the eyes, constantly becoming larger towards noon (they disappear 
toward evening),'. 

JEar. — *Heat, redness, and swelling in the outer ear (after a few hours),'. 
— * Discharge of matter from the left ear (after twelve hours),'. — ^Jerking in 
the outer ear, followed by heat only in the ear,\ — "^Pressure in the bone above 
the right ear (thirty-fifth day),'l— Eush of blood to the auditory apparatus 
(after eight hours),'. — [230.] *Violent pain in the ear, as from something' 
forcing outward,'. — On blowing the nose the air penetrates the ear inter- 
nally, as if the ear were distended thereby, with stitches, that shoot thence 
to the eye,'. — * Jerking in the ears,^. — *Some tearing jerks through the ears 
(after twelve hours),'. — *TtcMng sticking in the inner ear (after six hours),'. 
— *Much sticking in the right ear (twenty-second day),'l — *Stitches in the 
left ear (thirty-fourth day),'^ — * Itching deep in the ear (after twenty-four 
hours),'^ — Much itching in the right ear, in the afternoon and evening 
(after thirty hours),'. — Uearing, *Dulness of hearing, as though the ears 
were stopped, with trembling and perspiration on the back, returning every 
other hour (after three hours),'. — [240.] *Diffieulty of hearing, as if the 
ears were stopped (after three hours),'.Tf — -^Frequent sensation of stoppage 
in the right ear (eighth day),'l — *Sensation as if the ear were stopped, 
with roaring in it like a loud distant noise (after twenty-one hours),". — 
On waking from sleep the sound of words seemed too loud ; they seemed 
to re-echo in the ears (after two hours),'. — Whistling in the right ear, with 
diminished hearing, as if air were forcing the drum outward (fifth day),''''. 
— Twittering in the ear, as from a cricket, in the morning, in bed (after 
fifty hours),'. — *Frequent humming in the ear,^. — Murmuring in the ear 
rhythmical with the pulse,'. ff — * Cracking in the ear on moving the head or 
body (after four, and sixteen hours),'. — Tremulous tingling ringing in the 
ears, like .that caused by the beating of an iron bar (after three hours),'. — 
[250.] Tinnitus aurium, as in cinchonism,''''''. — ^Ringing in the ears (after 
four to eight hours),'. — Fine ringing in the right ear or in the left, with an 

t Compare 8S, 87, 139, 152, 196, 874.— Hahnemann. 

j Compare 210, 211, 212, 213, 214, 216, 220 with 215, 1276 —Hahnemann. 
j Prom the exhalations. — Hahnemann. With S. 182. — ^Hughes. 
II Compare 106. — Hahnemann. 
f Compare 239, 240 with 242. — Hahnemann. 
t'f Compare 246, 247, 253 with 124. — Hahnemann. 



212 PULSATILLA. 

agreeable tickling sensation in the region of the drum,'. — ^Sounds of wind 
in the ear or the rushing of ivater, after 4 p.m. (after ten hours),\ — *Roaring 
in the ears, commencing after seven or eight hours and lasting two days, 
disappearing by a sudden shock, that, like an electric shock, extended from 
the head down across the chest, with a sensation before the eyes as of the 
bursting of a soap-bubble,*. 

Nose. — *Sneezing (after four, and twelve hours),'. — *Sneezing, in the 
evening, in sleep,'. — ^Sneezing, in the morning, in bed,'. — ^Bleeding from 
the nose, with stopped catarrh,'. — * Hainorrhage from the nose (after one 
hour),\ — [260.] *Epistaxis,'. — * Blowing of blood from the nose, in the 
morning (after forty-eight hours),\ — Coryza, lasting two hours (immedi- 
ately, and after two hours),^ — * Coryza, with loss of smell and taste'. — Occa- 
sional coryza, as if from a heavy cold (after some days),'". — * Green offen- 
sive discharge from the nose,'. — * Purulent discharge from the right nostril,". '\ 
— Stopped catarrh, with ulcerated nostrils,'.| — Stopped catarrh,'. — Nose 
stopped ; nostrils ulcerated,'.§ — [270.] *Stoppage of the nose, a& from 
catarrh, in the evening, on going to bed, and in the morning a thick 
yellow opaque mucus, as in old catarrh, is blown from the nose,'. — 
*Pressive sensation in the root of the nose,^. — *Pain in the bones on both 
■ sides of the nose, as if the nose would be forced asunder (thirty-fourth day),'^ 
— (Pain, as from an ulcer, in the root of the nose on stooping),'. — Sensation 
as of an ulcer in the left nostril (after eight hours),'. — Jerking pain in the 
nose,'. — * Constant tickling in the nose'. — * Tickling in the nose, as from fine 
snnff, followed by violent sneezing^. — Stnell. *Smell as of old catarrh in the 
nose, in the morning,'.\\ — *The nasal mucus is offensive, as in old catarrh,'. 
— [280,] *Bad smell, as of old catarrh, in the nose,'. — An illusion of 
smell ; he constantly seems to smell tobacco and coffee, even in the open 
air,'. 

Face, — ■* Paleness of the face,'. — Sudden redness of the face, with shiv- 
ering on the feet and anxious trembling,'. — Tension of the face and of the 
fingers (especially if one takes hold of anything), as if the parts would become 
swollen,'. — Cheeks, Redness of the right cheek, with violent burning 
in it, especially in the open air, together with heat of the right hand, with 
shivering of the whole body, confusion of the head, like an intoxication, 
and ill-humored fretfulness at every trifle (after a quarter of an hour),'.— 
Twitching of the muscles of the cheeks,'. — A sticking pain in the parotid 
gland,'. — Boring in the left malar bone (eleventh day),'^ — Pressure in the 
bones of the right side of the face (thirty-fourth day),'^. — [290.] A feeling 
as if mumps were coming on, with sense of threatening deafness (after six 
to seven days),'*. — Li'ps. *Stvelling of the lower lip, which is cracked in the 
middle, with tensive pain,'. — Twitching of the lower lip for two days,'. — 
JcitVS. A small painful gland develops between the antitragus and the 
articulation of the jaw,'. — Tearing (drawing) pains in the lower jaw,'.T[ — 
A constrictive pain, as from an acid, in the jaws, with shivering and cold 
sweat on the face,'. 

f Compare with 839. — Hahnkmann. | Compare with 180. — Hahnemann. 

I Ciinipiire with 184. — Hahnemann. 

II Coraimre with 279 and 280 — Hahnemann. 

yj The so-called tearing paiti< of PuUatilUi consist for the most part of a transient 
drawing tension that always changes to a jerking similar to a tearing, somewhat us 
if a nerve were painfully pulled out and stretched and then suddenly let go with a 
painful jerk. Uenoe the expression " Isolated tearing jerking," 233, and " Drawing 
jerking," 303, etc. — Hahnemann. 



PULSATILLA. 213 

Mouth. — Teeth, Looseness of the teeth, in the morning,^ — Tooth- 
ache beginning about 2 a.m., intolerable, so that he was obliged to lay his 
head in a cool place in the bed ; a sticking digging, first in the lower, then 
in the upper teeth, changing from the root of one tooth to another, return- 
ing at noon, while eating,^ — Toothache aggravated in the wind,\f — *Tooth- 
ache always on eating,'. — [300.] *^4 tooth is painful on chewing and biting^.X 
— *Pain in the teeth as if they would be forced oMi,'.§ — *Toothache immedi- 
ately on taking anything very warm into the mouth,\— Drawing jerking 
toothache, aggravated by cold drinks,'. — Jerking in the back teeth, with a 
small swelling on the gum,\ — *(Jerking toothache, especially in the morn- 
ing, that is relieved when the cold water taken into the mouth becomes 
warm, not aggravated by chewing, caused by picking the teeth),'. — Jerking 
toothache, from 6 to 11 p.m., preceded by heat in the head, and followed 
by sweat,'. — *Tearing toothache,'.\\ — Fine sticking toothache, relieved by 
vinegar,'. — *Fine, sticking, gnaunng toothache in the gum, especially towards 
evening, aggravated by the warmth of the bed, relieved by uncovering 
and by a draught of cold open air, removed by the evening nap (after six 
hours),'.Tf — [310.] Sticking in the last back tooth, aggravated by opening 
the mouth, from 2 to 6 p.m.,'. — (Sticking throbbing toothache (after 4 to 5 
P.M.), aggravated by cold water),'. — G-tiniS. Sensation of swelling of the 
gum posteriorly, though it was not swollen ; whenever he took anything 
cold or warm into the mouth, in eating or drinking, there was a burning 
sensation,'. — The inner surface of the gum is painful, as if it were eroded 
(after eight hours),'. — * The gum is painful as if sore,'. — Sore feeling in the 
gums (after six to seven days),". — Throbbing in the gum rhythmical with 
the pulse, aggravated by the warmth of the stove,'. — Tongiie. *A pain- 
fid blister on the side of the tip of the tongue (after six days),'. — ■*The tongue 
is covered with tenacious mucus, as with a membrane,'.-j"|" — The tongue 
seems broader than natural,'. — [320.] * Dryness of the tongue, in the morn- 
ing,'. — The edge of the tongue feels sore, as if scalded with hot water (after 
six to seven days),'*. — ^Sensation on the middle of the tongue, even ivhen it is 
moistened, as if it had been burnt and ivere insensible, at night and in the 
morning (after six hours),'.JJ — At first tearing in the tongue, followed by 
persistent heat,".§§ — *Biting in the tip of the tongioe (twenty-ninth day),'^. — 
Sense of "gathering " under the tongue (after some time),". — Sticking 
pains in the tongue (twenty-second day),'l — General Mouth. *The 
mouth is covered with offensive mucus, in the morning on waking from sleep,'. 
— * Offensive odor from the month, at night'. — * Offensive odor from the mouth, 
in the evening after lying down (after ninety-six hours),'. — [330.] *Bad 
odor from the mouth, in the morning, '.\\\\ — *In the morning the mouth and 
pharynx are dry and covered with a tasteless insipid mucus, with an of- 
fensive odor from the mouth that is not perceptible to himself (after 
twelve hours),'. — ^Dryness of the palate, tongue, and lips, on waking from 
sleep in the morning, followed by the secretion of much tenacious mucus,'.]f^ 

t The production or aggravation of the symptoms by the cold open air is a rare 
allernate action, to the symptoms caused by warmth, especisilly by the air of a warm 
room, for example, 221. — Hahnemann. 
X Alternate action with 305. — Hahnemann. 

§ Compare 860 — Hahnemann. || Compare 294. — Hahnemann. 

\ Compare with 2998. — Hahnemann. ft Compare 332. — Hahnemann. 
XX Compare with 320. — Hahnemann.- 
II Prom the extract placed on the tongue. — Hughes. 
nil Compare with 246. — Hahnemann. 
■ \\ Compare with 318. — Hahnemann. 



214 PULSATILLA. 

— *A painless sensation as if the roof of the palate were covered with tenacious 
mucus or were swollen,^. — Sdlivci, * Salivation,^. — * Accumulation of saliva 
(after one hour and nineteen days),'^ — *Much mucus in the mouth (ninth 
day),". — *Accumulation of sweet saliva in mouth (second and third 
days)/l — Accumulation of saliva in the mouth as if one had drunk vine- 
gar.'. — * Discharge of watery saliva like waterbrash^. — [340.] Frequent dis- 
charge of watery saliva from the mouth,^.t — * Flow of tenacious saliva,^^.\ — 
Taste. *Taste of bad meat in the mouth with qualmish nausea (after 
two hours),\ — * Taste of bad meat in the mouth on hawking, especially in the 
morning,^. — Bad herby taste in the throat posteriorly,^. — *Slimy taste in 
the mouth and qualmish nausea, in the morning,\ — *Slimy taste in the 
mouth (twelfth day),". — (In the morning, slimy, salty, bitter taste in the 
mouth, not without appetite),'. — *Disgusting' taste in the mouth, with 
white tongue, in the morning,\§ — *Foul, clammy, insipid taste (after 
six to seven days),". — [350,] * Clammy taste, he wants frequently to rinse his 
mouth (after some days),". — *Filthy taste, tongue much coated, appetite quite 
gone (after some days),'^ — Sweetish slimy taste, not disagreeable, lasting a 
long time after a dose (fifth day),''^. — Disgusting sweetish taste to beer 
(after two hours),'. — Constant sweetish taste of saliva in the mouth,'. — 
Sourish taste in the mouth, after eating (after three hours),'. — *NauMeous 
taste from smoking tobacco,^. — * Nauseous taste, as of fasting, in the mouth, as 
if one had risen too early, in the morning (after twelve hours),'. — Burnt 
(empyreuinatic) taste in the mouth,'-. — Earthy taste in the mouth, with 
qualmish nausea (also after one hour),'. — [360.] Purulent taste, at times 
in the mouth, especially- in the morning,'. — Flat taste in the mouth, as if 
one had eaten earthy things (after ten hours),'. — *Bitter taste in the mouth 
remains after drinking beer, in the evening (after eight hours),'. — *Bitter 
taste in the mouth in the morning fasting, continuing even while smokifig,^. — 
*Bitter taste, even of food,". — *A11 food has a hitter taste, followed by 
chilliness, with cold sweat,'. — ^Constant bitter bilious taste in the mouth, 
especially after eating,'. — *Bitter bilious taste in the mouth, after eating 
and smoking,l — '* Bitter taste, with desire for citric acid,\ — * The mouth is 
bitter for a quarter of an hour after eating, with a good appetite^. — [370.] 
*Biller taste in the mouth, in the morning, disappearing after eating (after 
twenty-four hours),'. — *Bitter taste to bread, rolh, and vieat,^. — A bitter 
taste remains in the mouth after drinking coffee, especially in the morn- 
ing,'. — Bitterness after vomiting,'. || — *Bitter taste in the mouth, at 6 
p.M.,'.*[[ — *Fersistent bitter taste in the mouth (nineteenth day),''''. — *Some 
hitter taste in the mouth, especially in the morning, and for some time after 
eating and drinking, though food has a natural taste,'.— Dreadfully bad 
bitter taste (after some days),". — *Beer. has a bitter taste, in the morning ; 
afterwards a sour taste remains in the mouth (after twelve hours),'.ff — Bitier 

t 339, 340, 464, are related to 474.— Hahnemann. 

X Add leriiioioiis. — Hughes. 

§ Cnmpare wilh 331, 342, 343, 344, 345, 347, 360, 456.— Hahnemann. 

II Compare 502 — Hahnemann. 

f Pulsatilla .seldom (and at most, only in tlie evening or morning) causes a per- 
sistent bitter taste in the mouth ; on the contrary, the alternate actions in which 
there is no bitter taste by itself, but either on drinldns or eating and chewing, es- 
pecially black bread, or only after swallowing food or drink, are the most frequent 
conditions of this drug. — Hahnemann. 

ft The bitterness and acidity of taste and eructations alternate, and at the same 
time both are the primary action of the drug.— Hahnemann. 



PULSATILLA. 215 

heer has a disgiisting sweetish taste,^. — [380.] *Bread at times tastes bitter ; he 
has an aversion to bread,^. — Bread has a bitter taste while chewing ; but 
immediately on swallowing the bitter taste disappears/. — Wine tastes bitter 
(after eight hours),'. — All food tastes too salt (except black bread), and 
after eating, a scraping salty taste constantly rises into the throat for sev- 
eral hours (after four, and twenty-eight hours),'. — Meat has no taste/. — 
Bread tastes sourish and seems too dry,'. — Milk has no taste, in the morn- 
ing,'. — Fresh meat has a bad taste,'. — Only black bread disgusts him, tastes 
bitter, other food does not,'. — * Diminished taste to nil food (after four, eight, 
and sixteen hours),'.— [390.] There is no taste when smoking tobacco, it 
is completely tasteless ; it, however, excites no aversion; towards evening 
(after twenty and fifty hours),'. 

Throat. — * The throat internally is covered with tenacious mucus, in the 
morning, ^A; — * Intolerable sensation of dryness in the throat, extending as far 
as the tip of the tongue (without visible dryness), with thirst; he is able to 
drink but little, because it distresses him internally and seems to make him 
qualmish,'^. — Dryness in the throat, after midnight,'. — * Dryness of the throat 
in the morning (after six, and twenty hours),'. — Sore throat, with sense of 
dysphagia; she feels as though she would be choked (after three to four 
days),". — Sore throat ; sensation of clawing, scraping, and rawness in the 
throat, as after violent vomiting; on swallowing he felt nothing; with 
great dryness of the throat,'. — Sore throat ; sensation of 'swelling in the 
throat and rawness in the trachea on swallowing,'. — Sore throat; pain on 
swallowing as if the uvula were swollen,'. — Sore throat; a sensation on 
swallowing as though the throat posteriorly were constricted and swollen, 
so that it is closed,'. — [400.] Sore throat; pain on swallowing, as if the 
submaxillary glands projected into the throat, and as if they were sore and 
raw (after eight hours),'. — Sore throat ; sensation as if something at times 
in the upper, at times in the lower part of the throat were swollen (after 
six hours),'. — Sore throat; it seems acrid on the palate, as if it were raw, 
on swallowing,'. — Sore throat; rawness and a sore sensation in the throat 
when not s^tallowing, and as if it were altogether too dry, in the morning 
(after two hours), '.| — Sore throat; stitches in the throat posteriorly when 
not swallowing, none when swallowing,'. — Sticking sore throat,'. — Sore 
throat; cutting pain in the throat (after eight hours),'. — Sore throat; paiu 
on the side of the palate, when touched and on talking, as from a blister 
or painful pimple, with dilated pupils, in the morning,'. — * While coughing 
a sensation as from sulphur vapor in the throat,^. — *Scraping and dryness in 
the throat, causing paroxysms of two or three coughs,^. — [410.] *Rawness, 
scraping, and scratching in the throat, with dryness of the mouthy. — Much 
scraping, extending low down in the throat and into the oesophagus, with 
much accumulation of saliva, and at last much heat in the stomach (im- 
mediately after a dose, ninth day),'^ — * Constricted feeling about the throat 
(after six to seven days),'*. — Fulness and stutfing in the throat (after six 
to seven days),'*. — *The throat posteriorly is painful, as if raw, together ivilh 
a draiving pain in the cervical muscles,^. — * Pressure and tension in the throat 
on swallowing,^. — *A sensation of a tvorm creeping up, rises into the throat,^. 
— i'h avynoc. * /Several attacks of constrictive or retching pain in the pharynx 
{oesophagus), just as if one had swallowed too large a morsel of fresh bread (after 
ten hours),'. — Burning in the pharynx, after vomiting,'. — Swdllowing. 

f Compare with 318, 3.31. — Hahnkmann 

J Alternate action with 398 and 402. — Hahnemann. 



216 PULSATILLA. 

Swallowing difficult, as from paralysis of the pharyngeal muscles,'. — 
JExtertial Thront. [420.] Boring pain in the submaxillary glands, 
even if the parts are not moved (after four hours),'.— Drawing tensive 
pain in the submaxillary glands,'.f — Pain in the submaxillary glands,'. 

Stomach. — Appetite. Increased appetite, in the evening (after five 
hours),^.—*Appetite, but he does not knoio for what,". — Ravenous hunger, 
immediately (but passing off soon),'. — Much hunger at an unusual time 
(thirty-fourth day),'l — He is hungry, but has uo desire for any particular 
kind of food,'. — With some appetite; bread, butter, and beer have little or 
no taste,'. — (Only plum marmalade has a perfectly good taste), (after 
twelve hours),'. — [430.] (He desires no warm food, only bread, butter, and 
fruit),'. — * Desires food, but does not know what kind ; he does not relish any- 
thing that he eafa,'.J — Loss of appetite, with a clean, natural taste,'. — Loss 
of appetite, on account of the tastelessness of food and a fulness in the 
stomach,'. — Loss of appetite, after vomiting,'.§ — Appetite quite gone, filthy 
taste, tongue much coated (after some days),'". — Appetite completely gone 
(after some days),'^ — *Aversion to meat and stale bread,'. — *Aversion to 
butter; it tastes bitter,'. — Aversion to milk, in the morning, though he im- 
mediately relished it,'. — [440.] Extreme disgust for smoking,'. — ^Aversion 
to smoking, as if he had already smoked to satiety (after five hours),'. — 
Thirst. Very violent thirst, especially for beer, after the disappearance 
of the fever heat, and a white tongue,'. — Thirst, without heat and without 
sweat, in the evening, immediately after lying down in bed; perspiration 
follows only in the morning, between 2 and 5 o'clock, with thirst; drink- 
ing always increases the perspiration,'. — (Thirst, at midnight, without being 
more than warm),'. — Thirst for water, in the evening,'. — * Thirst during 
the Aeof,'. — Thirst for beer, which, however, has an unpleasant taste (after 
ten hours),'. — '* Thirst, especially for beer, chiefly in the morning (after a 
few hours),'. — * Thirst for alcoholic drinks,^. — [450.] He longs to drink 
something invigorating and strengthening,'. — *Loss of thirst,'. — JEvilC- 
tdtions. Frec^uent eructations tasting of the food,'.|| — *Eriictations 
after eating, tasting of the food, followed by qualmishness (after four 
hours),'. — * After eating, constant eructations, tasting of the food,^ — 
*Eructations, tasting of old rancid tallow, after eating cakes,'. — *Eruc- 
tations, as of bad meat, after dinner ; the same taste afterwards remains 
in the mouth, with qualmish nausea (after fourteen hours),'.T[ — *Loud 
eructaiions,^. — *Bilious eructations, in the evening (after two hours),'. — 
*Eructations (uprisings) of a bitter fluid into the mouth,'. — [460,] *Bit- 
ter eructations, at night,'. — ^Eructations of gas (after one hour),". — 
*Sour eructations, in the morning^. — * Uprisings of sour liquid into the 
mouth, after drinking coffee,^. — A watery liquid rises up into the mouth, so 
that she is obliged to spit it out (without nausea and without vomiting) ; 
immediately preceded by a sensation as if something were torn loose, and 
during eructations a pressure in the same place (after three hours),'. — 
* Uprisings into the throat, preceded by rumbling crawling in the abdomen, 
and by colic ^.. — * Incomplete inclination to eructate; the eructations are inef- 

t Compare 421, 532, 830.— Hahnemann. 

I Compare 424. — Hahnemann. 

5 An alternate action with 488. — Hahnemann. 

II Eructation having the taste and odor of the food (see also 454) is a far more 
frequent alternate action of Pulsatilla than empty eructations of gas.— Hahnk- 
mann. 

If Compare 424, etc. — Hahnemann. 



PULSATILLA. 217 

feetual and do not adually occur ^.. — Hiccough, Hiccough while smnk- 
ing,^. — Hiccough at night, in sleep,'. — Inclined to hiccough, after drink- 
ing,'. — Nausea and Vomiting, [470,] *Much nausea (twenty-second 
day),". — * Frequent nausea (eighth day),". — Nausea; she was quite afraid 
to eat anything for fear of vomiting (after some days),'". — *Nausearises up 
into the mouthy. — ^During the menses she was nauseated, at night, and water 
.rose from the stomach, with retching, like waterbrash,^.'f — *Naiisea, water- 
brash, disag^reeable risings (after six to seven days),". — Nausea, with 
much saliva (thirty-fourth day),'^ — Nausea, with peculiar aching in the 
stomach (first and second days),"'. — *She became nauseated, while eating, 
so that food was repulsive to her,^. — Nausea, as if caused by the heat of the 
body,'. — [480.] Nausea and qualmishness, as from drinking oil,'. — Nausea 
and salty or sour vomiting, towards evening, after moving about in the 
open air (after three hours and a half),'. — *Some nausea, tvith heartburn 
(soon after a dose, nineteenth day),'^—* Sensation of qualmish nausea, in 
the upper abdominal region, especially after eating and drinking (after 
one hour),'. — Intolerable qualmish nausea, without vomiting (after one 
hour),'. — * Qualmish nausea, with rumbling and gurgling in the hypochon- 
dria^. — Nausea and qualmishness, in the morning, after taking milk,'. — 
Qualmish nausea from smoking, to which he was accustomed,'. — Qualmish 
nausea while slumbering (or even while sleeping), with persistent appetite, 
even for black bread (after twenty hours),'. J — * Qualmish nausea rises up 
into the throat^. — [490.] * Qualmish nausea, in the morning, with a slimy 
mouth, soon changing to an acid taste in the mouth (after thirteen hours),'. 
— A qualmish nausea rises up into the throat, with a very disagreeable 
sensation,'. — * Qualmish nausea, when he wished to take food^. — * Qualmish 
nausea, without vomiting, during the suppression of the menses, with good 
appetite,'-.^ — * Qualmishness, with chilliness,^. — Qualmishness, only in the 
throat, not, however, on swallowing,'. — Qualmishness, during the saliva- 
tion, for twenty-four hours,'. — Qualmishness from solid food, bread, meat,'. 
— * Qualmishness,^^. — Violent racking vomiting of green, slimy, watery sub- 
stance, that has a sour odor, and burns like fire in the throat, in the even- 
ing, after eating, when lying down to sleep ; this vomiting returned three 
evenings in succession,'. — [500.] * Vomiting, at night, with sticking-drawing 
pains in the hack, extending towards the scapul(e,^.\^ — (Vomiting a little, 
before midnight, almost without nausea),'. — * Vomiting of food, in the even- 
ing, followed by bitterness in the mouth, with the teeth set on edge,^. — * Vomit- 
ing of food that had been eaten a long time before,'. — *Short bilious vomit- 
ing,'^. — Stomach, Distension of stomach and abdomen ; she has to unlace 
herself,". — Bloated hard feel at the stomach, with flatulence (after six to 
seven days),'*. — Anxious sensation about the epigastric region,'. — *It lies 
as heavy as a stone in the stomach, in the morning, on waking,^.^ — '^Sensation 
as if the stomach were di)iordered,Kff — [510.] *Symptoms of extremely dis- 
ordered stomach,'. — *Sensation in the stomach, as if one had eaten too 
much ; food rises up into the mouth, as if one would vomit,'. — *0n cough- 
ing, it seemed as if the stomach turned over, and as if he would vomit ; the 

t Compare 339, 840, 464, 488, 500, 501.— Hahnemann. 
X Compare 493. — Hahnemann. 

I Compare 488 — Hahnemann. 

II Compare 474 and 488. See tearings also at night, 625 and 626, and other symp- 
toms, at night, 499, 748, 750, 754, 858, 896, 989, 941.— Hahnemann. 

If Compare 618, 522. — Hahnemann. 
tt Compare 110, 342, 343, 456.— Hahnemann. 



218 PULSATILLA. 

eoiigh presses tears from the eyes,^. — * Dull pain and a sensation of fulness in 
the stomach (twelfth day),". — Sudden violent pain in the stomach (twelfth 
day),". — Much pain in the stomach, extending to the umbilical region and 
down to the pelvis, then jumping to the left side, beneath the ribs; pains 
aggravated by drawing inward the walls of the abdomen (twenty-ninth 
day),". — *Pain in the stomach {cardialgia) during the menses,^. — Pain in 
the pit of the stomach, on inspiration,'. — Pain in the pit of the stomach, 
at first pressive, then jerking,'. — *Pain in the stomach, an hour after eat- 
ing/. — [520.] * Griping pain in the pit of the stomach,'. — * Pinching-pressive, 
or retching pain in the stomach, that takes away the breath, in the afternoon,^. — 
*Violent pressure in the pit of the stomach, in the morning, mingled with 
qualmishness,'. — * Pressive-dra.wing pain in the pit of the stomach, in the 
morning, which soon changed into the sides of the chest, like a sticking, at 
last into the back, like a tearing (after twenty-four hours),'. — Pressure in 
the stomach and flatulent colic, immediately after supper, followed by 
qualmish nausea (after twenty-four hours),'. — Griping-sticking pain, with 
flatulent colic, in the region of the upper abdomen, in the morning (after 
twenty-four hours),'. — -Transient pressure in the stomach (after one hour, 
fifth day),'^ — A tension in the epigastric and prsecordial regions, extending 
up into the breasts,'. — *A tension in the region of the stomach, in the fore- 
noon, that disappears on moving abovt (after twenty-six hours),'. — *Scraping 
sensation in the stomach and oesophagus, like a heartburn (after half an 
hour, fourteenth day),". — [530.] Gnawing sensation in the stomach, like 
ravenous hunger (after eight hours),'. — *A kind of claiving in the stomach, 
in the morning, on rising from bed, as if one had fasted a long time; disap- 
pearing after eating (after twelve hours),'. — Jerks, from the stomach up to 
the larynx, and a tensive pain in the throat, with anxiety and a sensation 
of internal heat, that disappears after eating (after six hours),'. — Violent 
cutting in the stomach, momentary, at 5 p.m. (fifth day),'^ — Stitches in 
the pit of the stomach.f on making a false step on an uneven pavement, 
etc.,'. — *A 2'>erceptible throbbing in the stomach, on laying the hand upon it^ 
Abdomen. — Hypochondria. Drawing-tensive pain in the hypo- 
chondria,'. — Jerking and sticking in the hypochondrium, as if an ulcer 
were there, extending into the small of the back,'. — Sudden dull stitch in 
the side of the abdomen, as from incarcerated flatus,'. — General Ab- 
domen. A tense prominent ring about the navel that is painful, while 
walking (after twenty-four hours),'. — [540.] Hard distension of the abdo- 
men, with tense pain in it, and a sensation as if the abdomen would burst 
(wherewith the backs of the feet are swollen),', — Distension of abdomen 
and stomach,''. — *Flatident distension, always after eating,^. — Loud rum- 
bling in the abdomen, while awake and a.s\ee-p,^.~*Lu^(d rumbling in the ab- 
domen, with frequent diarrhoea, and griping and pinching in the abdomen,^. 
— * Rumbling and gurgling in the abdomen, as from flatidence,^. — ^Rumbling 
in the abdomen (after one hour),'l — ^Rumbling and gurgling in the abdo- 
men,'. — *Colic and rumbling in the abdomen, in the evening,'. — Flatu- 
lence, with bloated hard feel at the stomach (after six to seven days),". — 
[550.] *Emission of flatus, with cutting colic, in the morning (after eight, 
and twenty hours),'. — Extremely offensive flatus, after eating,'. — *Flatus 
moves from one part of the intestines to another, with loud rumbling, 
with gurgling', and with a griping sensation, especially in the evening, 
in bed,'.— C'o/tc after the stool,'. — * Colic at night; pressure here and there as 

t Compare 526 and 870.— Uahnemann. 



PULSATILLA. 219 

from incarcerated flatus, with a sensation of heat over the whole body, without 
thirst; not relieved by emission of flatus, after midnight,\ — Colic, as from 
flatulence, after a stool (after five hours),\ — (Colic, in the morning, with 
chill and heat),'.— *Co& after drinking (after three hours)/.— *C'o/ic, as if 
diarrhoea would ensue, hut only a normal stool results (after forty-eight and 
seventy-two hours),\— * Co& after drinking, in the evening (after six 
hours),^ — [560,] ^Sensation of flatulent colic, like fulness in the abdomen, 
after a meal (in the evening), (after- two hours),'. — *Flatident colic, very 
early in the morning, immediately after waking, while in bed ; flatus rumbles 
and moves aboid painfully, especially in the upper abdomen,^. — *Flatulent 
colic moving about the abdomen, mi the evening, after lying doivn in bed,^. 
— "^Flatulent colic, immediately after supper ; painful rumbling of flatus, espe- 
cially in the upper abdomen (after four, twenty-four, and forty-eight hours),'.t 
— * Cutting coliclike pains, as from flatulence, before eating in the evening 
(after thirty-six hours),'.J — Colic more cutting than griping, with a soft 
stool,'.--Colic ; cutting pains low down in the abdomen, relieved by stoop- 
ing, as if one would vomit, towards 5 p.m., after supper, three days in suc- 
cession ; it disappeared about 9 p.m., while lying curled up, and he fell 
asleep (after twenty-four hours),'. — Griping colic that frequently affects 
the whole abdomen (after half an hour),'. — Griping colic, low down in the 
abdomen, on the left side; she was obliged to bind up the abdomen,'.§ — 
Griping colic (after four hours), and violent stitches that shoot from the 
lower abdomen into the penis, with frequent thin stools, and with violent 
thirst for "braun bier,'". — [570.] Sensation of fasting and griping and 
bubbling in the abdomen, as from fermentation,'. — Tormina, relieved by 
a loose stool,". II — * Griping pains in the upper afiioTOeii (epigastrium),'. — ■ 
*Dull pain and sensation of tense distension in the upper abdomen,^. — ^*Sen- 
sation of heaviness, like a stone, in the abdomen, just before the menses 
(after one hour),'. — *Fulness after eating, and from time to time colic, luith 
rumbling,^. — Sensation of emptiness in the abdomen, as though the abdo- 
men were eviscerated,'. — Painful sensitiveness in the walls of the abdomen, 
after purging, with violent thirst; the abdomen cannot be touched without 
pain,'. — *Painful sensitiveness of the abdomen (caused by touch), (after sev- 
eral hours),'. — Pain in the abdomen only while walking,'. — [580.] Pain 
in the abdominal muscles, while sitting and on coughing (third day),'. — 
Pain in abdomen and lower chest, obliging her to bend forward,™. — *A 
pressive pain in the abdomen and small of the back, pressing downward, 
like a stone, during the menses, wherewith the lower extremities are in- 
clined to fall asleep, while sitting, with ineffectual desire for stool,\1 — 
^Pressing pain in the abdomen (after forty-two hours),'.ft — A very distress- 
ing sensation of tight tension in the abdomen, as if everything were too full, 
hard, and immovable, as if he could pass neither stool nor flatus, although 
a stool followed, that, though slow, was not hard, and flatus continued to be 
passed, though with diflSculty and abruptness,'. — *Drawing and drawing- 
tensive pains, extending from the abdomen through the spermatic cords 
into the testicles, that hang low down (after six hours),'. — *Drawing- 
tensive pain in the abdomen, like labor-pains (after four, and five hours),'. 

t Compare 524 and 560. — Hahnemann. 

t Compare 550, 564, 566, 588, 590, with 589, 624, 873, and in part with 874.— 
Hahnemann 

I Compare 520 and 544 — Hahnemann. 
' II Original revisfd by Hughes. ^f Compare 650. — Hahnemann. 

tt Compare 508, 521, 522. — Hahnemann. 



220 PULSATILLA. 

— * Constrictive and pinching sensation in the upper abdominal and hypochon- 
driac regions, as from incarceration of flatus (especially after eating), tliat then 
changes into the chest and takes away the breath (after sixteen hours),'. — 
Cutting pains in the abdomen during the day, and especially in the even- 
ing, every other day (after four, five, and six days),'. — * Gutting pains in 
the abdomen, as if diarrhoea would occur, above the umbilicus (after one 
hour),'.f — [590.] Cutting in the abdomen whenever she moves,'. — Some 
sharp pains in the abdomen, relieved by a loose stool, ".J — (Spasmodic and 
almost burning pains in the abdomen, during the menses),'. — Sharp stitches 
shoot from the abdomen into the penis,'. — After drinking anything, she 
must relieve the bowels at once,™. — Diarrhoeic feel in the bowels (after 
some days),'". — The parietes of the abdomen seem swollen, with tense pain, 
without emission of flatus,'. — Hypogastriiim and Iliac Srgions, 
*Pressive and constrictive pain, like a stone, in the lower abdomen, ex- 
tending down to the bladder,'. — *Violent cutting pain low down in the 
abdomen ; a forcing down into the pelvis, with a sensation as if a stool 
would occur, aggravated by drawing inward the walls of the abdomen (sixth 
day),'l — Cutting and dragging pains in hypogastric region, extending 
round to loins, and making her feel faint (after some days),". — [600.] 
Pain, like a bruise, in the parietes of the lower abdomen, while yawning 
(after two hours),'. — (Swelling of the inguinal glands and a bubo, on the 
disappearance of a venereal ulcer),'. — Lumps in both groins, about half 
the size of a walnut, hard and painful (after six to seven days),'*. 

HecMitn and Anns. — *Painfiil protruding blind haemorrhoids,'. — 
* Hcemorrhoids, with some itching stitches in the anus,^. — Hsemorrhoidal flux 
for three days,".§ — * Blind hmmorrhoids, preceded by pains in; the small of 
the bach, in the morning,^. — *Blind hcemorrhoids, with sore pain (after one 
hour),'. — * Blind hcemorrhoids in the evening, till about 9 o'clock, with sore 
pain in the amis during rest and motion, however somewhat aggravated during 
motion (after twenty-four hours),'. — *Blind haemorrhoids, with itching, in 
the evening (after ten hours),'. — [610.] *Blind haemorrhoids, with itching 
in the anus,'. — Profuse bleeding from the anus (after seven days),^ — 
^Profuse bleeding from the anus during stool,'. — Discharge of blood from 
the anus (fluent hsemorrhoids), (after eight days),'. — (A pressive tearing 
extending into the anus while standing),'. — Without straining in either the 
rectum or anus there seems to be a constant desire (in the remote intestines), 
without an evacuation,'. — * Pressure in the rectum after a stool,^. — * Persistent 
dull stitches in the rectum, as from incarcerated flatus (after one hour),'. — 
She had a feeling as of bad piles (to this symptom she is not subject), (after 
some days),". — ]3urning in the rectum during stool,'. — [620.] A feeling in 
the rectum as of piles,''. — *Sore pain in the anus immediately after a stool 
(after four and five days),'. — ^Smarting {sore) pains in the anus and in the 
hcemorrhoids (after three hours),'. — *Frequent desire for stool (frequent urg- 
ing), as if diarrhoea would occur, from time to time^. 

Stool, — Diarrhcea. * Diarrhoea, with colic,\\\ — *Diarrhoea as green 
as bile, once or twice at night, with movements in the intestines before 
every stool (after four days),'.T[ — *Watery diarrhoea at night,'. — Diar- 

t Compare 873, and in part 551, aUo 564, 624, 874. — Hahnemann. 
X Original revised by Hughes. 

j Coincident with relief of the chronic sacral pain. — Hughes. 
II Compare 589. — Hahnemann. 

if Compare 626. These nightlj- forms of diarrhoea are characteristic of Pulsatilla, 
and are difficult to find so pronounced in any other drug. — Hahnemann. 



PULSATILLA. 221 

rhcea, with pinching pains in the bowels, and a sense of nausea and faint- 
ness both before and at each evacuation ; the motions were slightly mixed 
with blood; the attack of diarrhoea continued for five days, during all which 
time she was obliged to keep her bed ; the bowels acted at first almost every 
quarter of an hour and upon the least movement (after two days),'". — 
*DiarrhcBa-like stool passed involuntarily five nights in succession during 
sleep, also diarrhosa three or four times duriug the day,^ — (Diarrhoea, in 
the morning),'. — [630.] *Diarrh(Ea of green mucus (after two days),'. — 
*Diarrhcea at first green, then slimy,\ — Slimy diarrhoea-like stool, immedi- 
ately after rising, five mornings in succession,^ — *Diarrhoea, not exhaust- 
ing,^^. — *Diarrh(m, without colic,^. — (The fseces are thin in form and seem 
pressed out flat),'. — Stool like chopped eggs, preceded and followed by cut- 
ting pains, especially in the morning,'. — *Frequeiit soft stools, mixed with 
mucus, also after two hours,'. — Trequent evacuations of only mucus, with 
colic before every stool, also after forty-eight hours,'. — Soft acrid biting 
stool, in the morning,'.t— [640.] While passing watery urine, with a feel- 
ing of weakness in the loins, discharge of acrid slimy stool,'.J — Acrid dis- 
charges with the stools,'. — Perfectly white stools (for fo'ur days), (after eight, 
and twenty-four hours, and after three days),'. — *Stools that consist of only 
yellow-white mucus mixed with some blood (after twelve hours),'. — Bloody 
stools,''*". — Fecal stool, followed by blood, in the morning (after seventy- 
two hours),'. — Is frequently obliged to go to stool, with bad color of the 
face (sickly expression) and faintness,'. — Stool daily but hard (with pain 
in the haemorrhoids),'. — Difficult stool in the morning, then during the day 
two more soft stools,'. — Coustljfation. Obstinate constipation,'.— [650.] 
* Difficult evacuation of stool, with painful pressure and pain in the back,^.^ 

Urinary Organs.— Bladder and Urethra. * Tenesmus of the 
bladder,^. — * The region of the bladder is painful to external toueh,^. — Constant 
pressure on the bladder, without compelling micturition, in the evening 
and at night,'. — A pressure upon the bladder, as from incarcerated flatus, 
towards morning,'.—*^ sharp (almost cutting) pressure upon the neck of the 
bladder, while walking in the open air, as from flatulence, though without de- 
sire to urinate,^. — A constant dull stitch in the neck of the bladder, as from 
incarcerated flatus (after one hour),'. — Burning in the neck of the bladder, 
as if it would compel micturition, in the evening, before lying down,'. — 
(Dropping of blood from the urethra, in gonorrhoea, from which he had 
already suffered), (after four hours),'. — [Discharge of offensive liquid from 
the urethra (gonorrhoea?)], ".|| — [660.] Gonorrhoea, of the color and con- 
sistency of semen, with burning pain, especially immediately after urinat- 
ing,'.TJ — Contraction of the urethra; the urine passes in a thin stream (after 
one hour),'. — Sharp pressive pain in the urethra, as with a finger-nail, after 
urinating,^ — A pressive crawling pain in the orifice of the urethra, after 
urinating,'. — Drawing pain in the urethra when not urinating,'. — Burning 
in the anterior portion of the urethra, after passing brown urine,'."f"f — ■ 
^Burning in the orifice of the urethra during and after the evacuation of 
urine, that deposits a brick-colored sediment,'. — Mllcttirition, and 
Urine. Pressure before urinating,'. — A pressure to urinate,'. — *Frequent, 

t Compare 640 — Hahnemann. J Compare 639. — Hahnemann. 

§ This symptom and 615, 623, 637, 638, 646, 648, 582 are the most important and 
most common evacuations of Pulsatilla. — Hahnemann. 

II See note to 677.^Hc;qhks. ^ Compare 665 and 677. — Hahnemann. 

tt Compare 586 and 677. — Hahnemann. 



222 PULSATILLA. 

almost inefedual, desire to urinate, with cutting pain while urinating,^. — 
[670.] *Frequent desire to urinate,'. — * Frequent micturition^'*". — *invol- 
Tintary micturition, at night, in bed,'. — '* Involuntary micturition; the urine 
dribbles while sitting and walking,^. — * Almost constant secretion of urine,^^. — 
More vigorous micturition,". — * Urine passes involuntarily, while coughing or 
on emilting flatus (after forty-eight hours),'. — [Difficult burning niicturi- 
tion],".t — Strangury ,^ — *Hsematuria,^*\ — [680.] Copious flow of urine.'.J 
— *Profuse flow of urine,'. — The urine presses only while lying upon the 
back and he is soon obliged to urinate; not when lying upon the side,'. — 
Urine colorless, as clear as water (after one hour and a quarter),'. — (Gelat- 
inous sediment to the urine),'. — Urine with a violet ring of froth above the 
sandy sediment,'. — Urine with a violet-red sediment,'. — Urine with a red 
sediment,'. — Dark-red uriue without sediment,'. — The urine is red from 
time to time,'. — [690.] Brownish-red urine,'. — * Brown urine,^. — Urine with 
a brick-colored sediment,'. 

Sexual Organs. — JKale. (A fine sticking near the genitals),'. — 
Erections day and night,'. — Frequent erections, with discharge of prostatic 
fluid (after thirty-six hours), '.§ — Erections, in the morning, for a long time 
after waking, not without sexual desire (after six hours),'. — Pressure and 
crawling in the glans penis after urinating,'. — Constrictive paiu behind the 
glaus penis,^ — Agreeable tickling on the glans penis, followed by discharge 
of a colorless liquid like prostatic fluid,l — [700.] Biting itching on the 
glans penis under the prepuce,'. — Itching-biting pain on the inner and upper 
portion of the inepuce (after six hours),'. — Fine sticking itching in the pre- 
puce while sitting and lying, not while walking (in the evening),'. — A 
sticking-itching sensation beneath the prepuce (after a quarter of an honr),'. 
— *Ilight side of the scrotum swollen,'. — *Painful drawing pains in the 
spermatic cords, lasting a long time (eighth day),'l — *Drawing pains 
in the spermatic cords (sixth day), 'I — *Swelling of the testicles (after 
forty-eight hour.s),'. — *The testicles hang down a long way (after one hour),'. 
— * The right testicle is drawn up and swollen, the spermatic cord swollen, with 
tensive pain, luhile the left testicle hangs low down (after one hour and a 
half),'. — [710.] *A soreness of testicles, so that the pants seem too light; un- 
pleasant when sitting^'". — *Tearing pain in the testicles (after twenty-four 
hours),'. — An itching irritability in the region of the seminal vesicles, caus- 
ing great inclination for an emission, almost without erections and without 
amorous thoughts, in the morning, in bed (after twelve, and thirty-six 
hours),'. — Sexual excitement and desire for coition, in the Wyoming, on waking 
(after twenty-four hours),'. — Seminal emission, with amorous dream (third 
night); without dream (sixth night),^l — ^Nightly emissions,^. — Emission iu 
sleep, at night.l — Two emissions in one night, with dreams that were not 
amorous, and on the next day lassitude and intolerable heaviness of the 
limbs (after twelve hours), '.|| — Female. *Painless leucorrhoea, with 
thickish mucus of the color of milk, especially noticed on lying down,'. — 
* Painless leucorrhcea, like cream,^. — [720.] * Milky painless leucorrhoea,^. — 
*Milky leucorrhoea, with swelling of the pudenda,'.— *Acrid thinleuoor- 

f In chronic gonorrhoea. — Hughes. 

J Kather a secondary or curative action, a relief of the symptoms of strangury, 
651, 608, 070; symptoms 672, 673 seem to bo primary in relation to these symptoms 
of strangury. — Hahnemann. 

J Compare 699.— Hahnemann. 

II Alternate action with 1216. — Hahnemann. 



PULSATILLA. 223 

rhoea,*. — *Leucorrh(Ba, with burning pain/.f — ^During the menses the 
blood is thick and black, and is discharged paroxysmally only a couple of times 
during the day,% — *Drawing-pressive pain extending towards the uterus, 
with qualmishness, towards morning,'. — * Cutting pain in the orifice of the 
uterus (after six hours),'. — *Contractive pain in the left side of the uterus, 
like labor pains, obliging her to bend double,'. — ^A burning (sticking?) 
pain in the vagina and externally in the labise,^ — [Menses increased, pro- 
t'use],".§ — [730.] — Menses seven days too early ,'.|| — The delayed menses 
came on (after one hour and a half),'. — *Suppression of the menses,'.— 
*Delayed menses, with coldness of the body ; chilliness and trembling of 
the feet,'."f'f — (* Menstruation only during the day while she walks about; very 
little or none at all at night) ^. 

Respiratory Organs. — *Violent tickling and scraping in the 
larynx, bringing tears into the eyes and causing dry cough (twelftli 
day),'^ — *A scraping sensation in the epiglottis, as in hoarseness (after one 
hour),'. — ■* Tickling in the region of the thyroid cartilage, and a short cough 
caused thereby (hacking),'. — Voice. 'Hoarseness, inability to speak a loud 
word,\ — Cough and Expectoration. * Violent cough, with difficult, 
scanty expectoration of a little tenacious mucus,'-. — [740.] *Cough (after four 
hours),'. — Cough, with pain in the chest,'. — Cough, causing stitches in the 
shoulder,'. — Cough at night, causing stitches in the side,'. — ^*Constant 
cough in the evening, after lying down,'. — *Much constant dry cough, with 
scraping and raioness in the larynx (thirty-fourth and thirty-fifth days),''''. — 
* Cough, caused by dryness in the chest (trachea),'. — * Cough, caused by a con- 
strictive sensation in the larynx, especially after eating (with vomiting and 
nosebleed),'. — (Cough immediately after eating a morsel),'. — ^Efforts to 
cough, caused by inspiration (after two hours),'. — [750.] *Cough at night 
preventing sleep, and causing exhaustion,'. — *Hard cough towards even- 
ing,'. — *Cough at night, causing dryness of the throat,'. — * Cough caused 
by itching in the trachea, and extending from the pit of the stomach to the epi- 
glottis,'. ~* Dry cough. a,t night; it disappears on sitting up in bed, but 
returns on lying down (after eight and thirty-two hours),'. J| — *Dry cough, 
with difficult expectoration (after several "hours),'.§§ — At first dry cough 
for half a day, and then for several days; constant secretion of mucus in 
the anterior portion of the trachea, a large amount of which is easily ex- 
pectorated by coughing,'. — Cough, with expectoration of black pieces of 
clotted blood, lasting till evening (after one hour),'. — * Cough, ivith expec- 

t 7'20 nnd 721 comprise an alternate action with 718 and 71 S. — Hahnemann. 

X DiflBcull, delayed, and indeed suppressed menstriiiitii)n seem to be the chief and 
primary action of Pulsatilla; the too early appearance of the menses (730) consti- 
tutes a more infrequent alternate action. — Hahnemann. 

§ In a case of chronic ophthalmia, coincident with the formation of much matter 
in the eyes. — Hughes. 

II See note to 724. — Hahnemann. 

\ In several older people, especially if the menses were accustomed to appear at 
the full moon. — Hahnemann. 
tt Compare 938, 1045, 1084.— Hahnemann. 
Xt Compare 799. — Hahnemann. 

\i 739, 751, 755, and the preceding symptoms of dry cough seem to be an alter- 
nate action with the symptoms of cough, with much expectoration (754, 759, 7B0, 
7KI, 763); these latter seem to be the mo^t characteristic, so that patients in whom 
the other symptoms correspond to Pulsatilla, are more easily and permanently re- 
lieved, if the cough is accompanied by much expectoration, than when the cough 
is dry. In 756 the chief alternate action of much expectoration, occurring only 
after dry cough, is unusual. — ^Hahnbmann. 



224 PULSATILLA. 

toration ofblood,\~*Coug'h, with expectoration (after two hours),'.— [760.] 
*Cough, with expectoration of yellow mucus,\ — * Cough, with bitter ex- 
pectoration,^. — The mucus expectorated by coughing has a biting, burnt 
taste, almost like the taste of crab's broth, or the juice of an old pipe (after 
a few hours),'. — Expectoration of mucus by coughing, having a bitter, 
bilious taste,'. — (Expectoration having a salty, nauseous taste, during the 
morning cough),'. — Respiration. The child chokes after coughing,'. — 
(Asthma, on smoking, as usual),'. — Oppression as if in the air-passages, as 
if they were pressed from without and constricted, so that for a moment 
he could not get his breath, in the evening, while standing, entirely without 
cough,'. — A spasmodic inspiration and expiration that changed to a tran- 
sient sensation of suffocation, as if one could not get his breath and would 
die,'. — Difficult respiration, caused by anxiety in the chest, in the morn- 
ing,'. — [770.] ^Shortness of breath, immediately after dinner, lasting several 
hours,'. — * Want of breath on attempting to breathe through the nose, not 
through the mouth (after half an hour),'. — *Sensation of dyspnoea in the 
lower portion of the chest, as if it were too full and tight, in the morning ^.'\ — 
*Dyspnoea in. the evening, followed by slumbering, then waking with a par- 
oxysm of suffocation, short or hacking cough, tearing frontal headache, ex- 
tending through the eyes, crawling on the tongue, cold feet, cold sweat on 
the face, and many eructations,'. — Dyspnoea and vertigo, with weakness of 
the head on lying outstretched upon the back, wholly disappearing on sit- 
ting upright.'.t — (DyspncEa,'.)§ 

Chest. — (Lungs ulcerated, eroded, with hectic fever, and bloody and 
purulent expeetoration),*.|| — ■* Oppression of the chest, with cough and ex- 
pectoration, in the morning , after mii/p' (after twenty-four hours),'. — * Op- 
pression of the chest, with cough, without expectoration^. — An anxious sensa- 
tion in the chest, with rapid pulse (after one hour),'. — [780.] *If she lies 
upon the left side, she complains of anxiety and rapid palpitation and 
want of breath,'. — Rush of blood to the chest and heart, at night, with 
anxious dreams (for example, of being immured), with starting up and 
anxious cries,'. — Painful stiffness of the pectoral muscles, on deep breath- 
ing and on moving the chest, in the morning, aftef rising (after twelve 
hours),'. — Violent pressure above and upon the clavicle (twelfth day),'^ — 
* Pressure upon the chest, and soreness,^.^ — * Constriction across the chest,'. — 

t Compare 521 and 587 — Hahnemann. 

j Compare 754. The sj-mptoms of Pulsatilla caused by assuminp; the horizontal 
position, by sittins; up, by riding after sitting, by walking and liy standing, consist 
of varying alternate conditions, all of which belong to the primary action of the 
drag, but which vary in their character. Usually the symptoms of Piil-<atilla, which 
occur while lying still upon the back, are relieved by sitting upright, seldom the 
reverse; frequently the symptoms that appear while sitting still are relieved or re- 
moved by gradual motion and by walking, seldom the reverse. Yet the act of ris- 
ing, before one begins to walk, usually givers rise to symptoms more numerous and 
more severe, the longer the sitting has coLitinued, so also longer continued and more 
violent m<ition causes aggravation no less than long sitting still, which, however, 
are only really felt and noticed after one has again sat down and become quiet. 
Tho.se alternate action.^ which a drug most frequently causes, and which are most 
violent and most peculiar, are of the most assistance in the homceopathic cure of 
disease. — Hahnkmann. 

§ From the Anemone sylvestris. — Hahnemann. 

11 Caused by the syrup of the purple flowers that had been given to a man and 
two children, with fever and cough, with rawness in the throat, acrid catarrh, and 
stitches in the side. — Hahnemann. 
T[ Compare 777; in the catarrhal condition, which these symptoms characterize 



PULSATILLA. 225 

Cramplike constriction of the chest ; at times she is quite unable to breathe 
(after six to seven days),". — (The ribs are sore when grasped)/. — Spas- 
modic pain across the chest/. — Soreness in the chest, under both clavicles,'^'. 
— [790.] Weary pain, like that caused by a long-continued racking cough, 
in the region of the short ribs of both sides, caused by a slight cough (after 
twenty hours),'. — * Constant spasmodic tension in the lower portion of the 
chest,^. — Pain in lower chest and abdomen, obliging her to bend forward,'"'. 
— *A oramplike sensation through the c/ie«<,\»— Compressive cutting, almost 
like a stitch, in one of the lower ribs, when lying on the right side, disap- 
pearing on stretching or lying on the painful side,\ — A cutting pain here 
and there in the chest (after six hours),\ — Sticking pain in the chest, on 
moving.the body,\ — Sticking in the chest on breathing, during the menses,'. 
— Sticking in the middle of the pectoral muscles, on raising the arm, 
towards evening, lasting all night till morning (after four hours),'. — Jerking 
sensation in the pectoral muscles, especially in the moruing, after waking,'. 
— [800.] *Scraping in the chest (trachea), causing cough,^. — Some violent 
stitches .suddenly shooting through the chest (thirty-fourth day),'l — FfOnt 
fiml Sides. * Pain as from an internal ulcer in the middle of the chest, in 
the sternum, with headache in the forehead, before midnight (after four hours),'.f 
— *A small spot in the region of the sternum is painful, as if the breath 
pressed against it,'. — Pressure on the middle of the chest (tenth day),'^ — 
Drawing, tensive pain in the sternum,'. — (Drawing, burning, and clawing 
in the region of the sternum, extending down to the region of the stom- 
ach),'. — Transient sticking in the sternum and left wall of the chest (ninth 
day),"*.— Pain in the side, two days, during the menses,'.| — Pain in the 
side, while coughing and on rising,'. — [810.] Cramplike pain, first in the 
right, then in the left side, then in the chest,'. — ^Drawing, tensive pain in 
one or the other side of the chest, aggravated by breathing,'. — Tearing and 
some sticking pain in the side of the chest (after one hour),'.§ — Stitches in 
the side, only on lying down,'.|| — A stitch in the side, caused by moving 
the arms, breathing and talking loud, so that the arm became lame before 
and during the menses,'. — -Stitches beneath the right and left ribs (thirty- 
fourth day),'l — Spasmodic constrictive sensation in the right side of the 
chest, with orgasm of blood (heat), (after twenty-six hours),'. — Pain in the 
left wall of the chest, preventing respiration (twenty-ninth day),'^ — Sud- 
den violent sticking in the left wall of the chest, while sitting (nineteenth 
day),'^ — Violent sticking beneath the left margin of the ribs, extending up 
to the left wall of the chest (fourteenth day),'l — [820.] Fine sticking pain 
in the left side, after lying down, in the evening (after three-quarters of an 
hour),'. — IHammee. Swelling of the breasts, with tensive pain, as if the 
milk rushed into them, and caused pressure, while nursing,'. 

in simple languMge, the glands of the .lir-passages seem to be in a swollen and in- 
flamed condition, and unable to secrete the mucus necessary to moisten them; hence 
the sensation of dryness, rawness, painfulness, and the illusnry sensation as if the iiir- 
passnges were inter-nally constricted by an excesssive amount of tenacious and firm 
mucus, that could not be loosened. — Hahnkmann. 

t Pains here and there as from an internal ulcer (from something sore), are pe- 
culiar to Pulsatilla; compare 162, 274, 830, 881, 860, 941, 946, lOOB ; and also sore 
pain, noticed especially when taking hold of any part; compare 875 and 1136. — 
Hahnemann. 

X It disappeared on the appearance of perspiration. — Hahnemann. 

I See note to 294, — Hahnbmann. 

II Compare 522 and 774. — Hahnemann. 

VOL. Till.— 15 



226 PULSATILLA. 

iteart and Pulse. — * Catching pain in the region of the heart, mih- 
dued for the time by pressure of the hand,^^. — *(Dull stitches and constant 
pressure in the precordial region, with anxiety that impedes respiration ; re- 
lieved by walking)^. — ^Palpitation and great anxiety, so that he was obliged 
to throw off his clothes,^. — * Palpitation, without anxiety, for nearly a minitie,^. 
■ — * Palpitation from talking,^. — * Palpitation after dinner (after five hours),'. 
— Heart's action feeble and irregular,''". — *The beat of the puUe ii felt in 
the pit of the stom,ach,'^.f » 

Neck and Bacla. — Week. [830.] Swelling on the nape of the neck, 
on both sides of the neck, extending as far as the carotid arteries, painful 
only when touched, then excessively painful, as from an internal ulcer bur- 
rowing underneath,'. — Swelling on the right side of the neck, with a sensa- 
tion on moving the neck or on touching it, as if the parts were torn and tense, 
or as if an internal ulcer were concealed there, however, nothing of it is 
felt on swallowing (after four hours),\| — Swelling of cervical glands (after 
six to seven days),". — A painless cracking in the first cervical vertebra on 
moving the head (after one hour),'. — ^Stiffness and pressive pain in the left 
side of the cervical muscles (thirty-fifth day),''^ — * Rheumatic pain in the nape 
of the neck, ivith weariness of the feet (after eighty-four hours),'. — ■* Drawing, 
tensive pain in the nape of the neck,^. — * Drawing -like rheumatism in the nape 
of the neck, in the afternoon; he could move only with difficulty,^. — * Drawing, 
fine sticking pain in the nape of the neck, betiveen the scapulae, and in the back,\i 
— ^Sticking pain in the nape of the neck^. — [840.] *Pain in the nape of the 
neck, as if he had lain in an uncomfortable position, at night,^. — Hack. * The 
back is painfully stiff, like a board,^. — Pressive pain extending up the back,'. 
— Drawing in the back during the stool, rarely at any other time,'. — * Sticking 
pain in the back and across the chest,^. — *Fine sticking pain in the hack (after 
two hours),'. — Tearing pain in the back,'.|| — Sensation in the back-bone as 
if it would come out (after some days),". — Feeling as of cold water beipg 
poured down the back,™. — While coughing, stitches in the back,'. — [850.J 
A throbbing, tickling sensation in the back,'. — Cracking in the scapula, on 
the slightest motion, in the morning (after sixty-four hours),'. — Dorsal, 
Severe interscapular pain,"*. — Interscapular pain, increased by inspiration 
(after six to seven days),'*. — Pain between the scapulae, as from a heavi- 
ness,'. — Pain in the back, between the shoulders, as on rising after stooping 
a long time; disappearing on walking about,'. — Sticking pain between the 
scapulae, even during rest,'.T[ — Sticking pain, between the scapulae, on mo- 
tion, impeding respiration,'.ff — Stitches in the scapulse, at night,'. — Pinch- 
ing pain in the right scapula, while sitting,'. — Lumbar. [860.] *Stiffness 
and pain in the small of the back, while lying, as if suppurating, or as from a 
tight band that would not yield,\ — *Pain in the small of the back, as if 
sprained, on motion,'. — *Pain in the small of the back, after sitting, can 
scarcely rise,'. — Pain in the small of the back, on rising and on bending the 
body backward, disappearing on bending forward (after twelve hours),'. — 
Pain in the small of the back on stooping, disappearing on rising or bend- 
ing backward (after twenty-four hours),'. — *Pain in the small of the back, 

t Compare 11!), 120, 140, 155, 1107.— Hahnemann. 
+ Compare 532 and 836. — Hahnemann. 

I Compare -witli 5U0. — Hahnkmann. 

II Compare 844, 845, 846, 8.55 with 500, 523.— Hahnemann. 
Tl An alternate action with 857. — Hahnemann 

ff It is the peculiarity of Pulsatilla that symptoms in different parts of the body, 
as well as those that properly belong to respiration, cause dyspnoea; compare 521, 
687, 865, 873, 874 -Hahnemann. 



PULSATILLA. 227 

like labor pain, as if a band passed through the small of the back, and every- 
thing were constricted, taking away her breath, especially in the morning,^. — 
Pain in the small of the back and in the knees, as if beaten, while lying 
still in bed, no more felt on rising and walking about,'. — *Paininthe small 
of the bach after sitting, he can scarcely stoop,'. — A pressive pain in the 
fourth lumbar vertebra, especially after walkiug,'.f— Pain in the small of 
the back, as from long stooping, that is mostly felt on standing and sitting, 
relieved by bending backward and walking, with weariness in the feet, that 
obliges him to sit down, in the evening,'. | — [870.] Drawing pain extend- 
ing from the loins to the pit of the stomach, where it became a sticking, on 
inspiration,'. — *Drawing, tensive pain in the loins,^.^ — A sticking in the 
loins on bending forward, in the morning, in bed (after ten hours),'. — 
Sticking pain in the small of the back, and in the abdomen, with cutting 
colic, impeding respiration,'. — At first sticking in the small of the back ; 
afterwards the pain extends to the abdomen, where it becomes a cutting 
and sticking, and takes away the breath ; afterwards a crawling in the 
head, II a heaviness and a drawing sensation, with vanishing of sight and 
hearing, followed by chilliness, as if he were dashed with cold water,'. — 
A smarting pain in the lumbar region and in the wrist, pain as from an ex- 
ternal wound,'. — Sacral. *Pressive pain, as from fatigue, in the sacrum, in 
the evening^. — ■* Pressing -out pain in the sacrum, in the evening,^.'^ 

Extremities. — Trembling in all the limbs, with tearing pain (after 
three hours),'. — *An anxious tremulous sensation in the limbs,^. — [880.] 
* Prostration of the limbs,'-. — * Weakness and weariness in the limbs, without 
feeling weary, in the morning after risin g from bed (after twenty-four hours),'. 
— Jerking of the limbs or of the whole body, during sleep,'. — Jerking of 
one or another limb whenever touched, on falling asleep,'. — * Drawing pains 
in the limbs and over the whole body, with anxious trembling^. — ^Drawing 
tearing in one or another limb, iviih chilliness and coldness, '.'\'\ — *Drawing 
fine sticking pains in the limbs, especially in the joints, that are painful to touch 
as if beaten,^. — *Simple pain in the limbs, especially in the joints, obliging 
him to stretch the body, with heat of the whole body, without thirst, in 
the morning in bed (after twelve and thirty six hours),'. — *r/ie limbs feel 
beaten^. — * The limbs upon which he lies ivhiU asleep seem asleep, with crawl- 
ing, on waking,^. 

Superior Extremities. — [890.] Trembling of the left arm and 
foot, with tearing pain (after one hour),'.^ — Heaviness of the arm, with 
tearing pain in the elbow-joint on bending it, only during the day,'. — 
*Sensation of numbness and heaviness in the arm on raising it, while hold- 
ing anything ivith it, or in any way working with it,^. — When she raises the 
arm, she cannot get it down in the same way, it is a sickening kind of pain 
(after six to seven days),'*. — The arm feels broken and dislocated, the paia 
being worse on pressure and from movement (after six to seven days),'*. — 
Drawing pain in the arm, even while at rest, lasting the whole night* ex- 
tending from the shoulder down into the fingers, which latter fall asleep, 

t See note to 774. — Hahnemann. 

X This and 860, 864 are similar symptoms that form an alternate action with 862: 
and 863; but the former seem to take precedence. — Hahnemann. 

? A kind of artificial lumbago. — Hahnemann. 

II Compare 85, 87, 139, 15'2, 196, 210.— Hahnkmann. 

f Compare with 105, 180, 301, 971.— Hahnemann. 

tt 885, 1100 are to be interpreted in accordance with note to 294. — Hahnemann, 
XX Compare 788 and 890 with 1045 and note to 294. — Hahnemann. 



228 PULSATILLA. 

even to insensibility, though without becoming pale or cold,'. — Tearing 
drawing pain in the arms, especially in the fingers, at night,'. — Drawing 
tensive pain in the inner portion of the arm, extending to the wrist,'. — 
Jerking tearing pain in the arms (after three hours),'.f — A burning pain 
in the arm, in the evening, with a sensation of dryness in the fingers (after 
forty-eight hours),'.| — [900.] While coughing, a shooting a few times low 
down in the right arm,'. — [Stitches, here and there, in the (paralyzed) 
arm],".§ — [Nightly stitches in the (paralyzed) arm],".|| — Shoulder. 
Hard glandular swellings in right axilla, painful and throbbing (after 
three to four days),". — Sensation of a heavy weight, and as of paralysis in 
the; shoulder-joiut, on attempting to raise the arm,'. — Pressure in the right 
shoulder-joint (ninth day),'^ — Sprained kind of feel from the right shoul- 
der-joiut down to the wrist, the elbofl-joint not being affected (after six to 
seven days),'*. — Pain in both shoulder-joints, so severe that she cannot even 
hold a cup in her hand (after six to seven days),'*. — Pain in both shoulder- 
joints, in the evening (ninth and tenth days),'^ — Pain like a pinching and 
heaviness, in the shoulder-joint (after sixty hours),'. — [910.] A pain in the 
shoulder on attempting to raise the arm,'. — Pain as from a sprain in the 
shoulder-joint, on bending the arm backward,'. — ''' Draiving pains, extending 
from the shoulder to the wrist, in transient recurrent attacks,^. — Sticking rheu- ■ 
raatic pain in the shoulder-joint, in the morning, on moving the arm or 
bending the head sideways (after eighteen hours),'. — A sticking pain in 
the shoulder-joint on rapid motion of the arm,'. — A jerking pain in the 
shoulder-joint (after four hours),'. — * A constant tearing pain'^ in the shoulder- 
joint, that obliges him to move the arm, occurring in the morning on waking, 
and again after half an hour, and then disappearing on lying upon the 
painful arm,'. — Bubbling, a kind of tremulous sensation on the right 
shoulder, in the afternoon (after three days),'. — A jerking sensation in the 
shoulder-joint,'. — Burning runs from the shoulder down through the arm, 
at night,'. — [920.] (Some stitches in the axilla, while sitting),'. — Arm, 
Pain in the upper arm, when touched,'. — Tearing in the muscles of the 
upper arm (immediately),'. — Sticking pain in the upper arm,l — *Thearm 
is painful, even while at rest, as if the humerus were beaten in the middle ; 
the pain extended down into the thumb, so that she could not xise it,'-.- — Some 
stitches in the right deltoid muscle (after one hour),'. — Elbow, Pain in 
the elbow-joint on moving it (after eigliteen hours),'. — Pain in the elbow- 
joint on stretching it,'. — Pain in the elbow-joint on motion, as if bruised, 
with dilated pupils, in the morning (after eight hours),'. — * Tensive pain in 
the tendons in the bends of the elbows, on moving the arms,^. — FoT'eanu, 
[930.] Swollen veins on the forearms,'.f f — A crawling falling asleep of the 
forearms (and hands) and legs, while lying still ; relieved by motion (after 

t ^'vmptomf 89'), 897, 898, 933, are to be understood in accordsince with the note 
to '29i. — Hahnemann. 

X The symptoms of PiilsntiiUi alterniite in refp(>ct to the time of day in which 
they occur and in which ihcy cease The principal time for them is in the even- 
ing and succeeding hours till midnight (concerning the nis;hily occurrence of the 
symptoms see note to SOU). Sipup/oins are seldom noticed about 4 P M., and still more 
seldom in ike mornifig, etc. — Haunk.mann. 

§ In a case of rheumatic paralysis of the left arm, — Hughes. Original revised 
by Huijlies. 

II In the same case as 901. It was followed by the eruption of 1130, whereupon 
the arm regained its power. — Hughks 

1 See no'les to ^94, 1079, 1110 —Hahnemann. 
ft See 1029 and note to 1258. — Hahnemann. 



PULSATILLA. 229 

two hours)/. — Pressure in the left forearm (fifth day),". — Jerking sensation 
in the forearm, extending to the wrist, especially in the morning after 
waking,^ — Drawing tearing pain in the bones of the forearm, in repeated 
attacks, during the day and evening,'.t — Wfist. Stiffness of the right 
wrist, even if the hand is not moved,'. — Pain, like a stiffness, in the wrist, 
on motion ; a pain as if the hand had been sprained or injured,'. — A pain 
in the bones of the wrist, then in the arm, in the evening, as if he had re- 
ceived an injury, or had sprained himself, more noticed during motion than 
during rest (after four days),'. — Hand. (Trembling of the hands and 
feet on moving about (after twenty-eight hours),'.;]; — (On holding anything 
in the hand it seems as though the arm would fall asleep),'. — [940.] (Cramp 
in the hands and muscles of the arms during the night-sweat),'. — Fin- 
gers, The fingers fall asleep, at night (after thirty hours\'. — The fingers 
fall asleep, in the morning in bed (after thirty six hours),'. — Pressure be- 
tween the fingers of the left hand (twenty-ninth day),'l — Tearing pain in 
the extensor tendons of the fingers (after ten hours),'.§ — Tension in the 
last joints of the fingers, in the morning,'. — Pain as if a panaritium would 
form on the side of the nail of the index finger,'. — Violent pain in the first 
joint of the left index finger, somewhat relieved by moving the fingers, at 
5 P.M. (fourteenth day),'^ — Violent stitches in the tips of the right fingers 
(twelfth day),'^ — Stiffness of the second joint of the thumb and of the 
knee, as if the joints had been sprained, and as if cracking would ensue 
(after two hours),'. — -[950.] Drawing pain in the thumb, with a sensation 
of stiffness, on moving it,'. — Pain, as if sprained or injured, in the second 
joint of the thumb, on motion,'. 

Inferior JEJxtremities. — Trembling of the lower extremities, in 
the morning,'.|| — Sensation of stiffness in the lower extremities, while walk- 
ing in the open air (eighth day),'^ — *Acute drawing in the lower extremi- 
ties as far as the knees, in the evening, with more chilliness than during the 
day without subsequent heat,^.^ — Bruised beaten feel in lower extremities 
(after some days),'^ — He is obliged to lie with the left lower extremity 
bent or else he has no rest,'. — [Transient burning pains extending from the 
toes to the groins],".tt — Hip, *The hip-joint is painful, as if dislocated 
(after three days),'. — *A pressure in the left hip, and at the same time in 
the head, in the forenoon, disappearing on motion (after twenty-six hours),'. 
— [960.] * A jerking, almost a sore pain, extending from the hip-joint to the 
knee, in the morning while lying in bed, disappearing on lualking^. — *Pain 
in the hip on bending the back, at noon,^. — Thif/h. A visible painless 
twitching of some muscle-fibres of the thigh, in the evening in bed,'. — 
*(She ivas unable to move the affected thigh and leg at niglii, she was obliged 
to let it lie wherever it happened to be, on account of a bruised pain in and 
below the knee; it was, however, painless when touched),'. — Sudden, transient, 
paralytic weakness of the thigh, while walking,'.|]; — * Excessive weariness of 

t See note to 294 — Hahnemann. 

% Compare 938, 1084 with 824, 890, 952, 965, 995, 996, 1045, 1110.— Hahne- 
mann. 

J To be interpreted in accordance with note to 294. — Hahnemann. 
II Compare 952 and 996 with 879, 890, 9.38, 965, 1084, 1110 —Hahnemann. 
if Most of the paina of PulsHtilla are accompanied by chill or chilliness. Com- 
pare 1004 and 1227. — Hahnemann. 
tt In a paralyzed leg, coincident with improvement in power. — Hughes. 
XX Especially on beginning to walk, after sitting a long time. See note to 774, 
and compare with 984 and 1045. — Hahnemann. 



230 PULSATILLA. 

the thighs, with trembling of the hiees,^.^ — Soreness and smarting pain in the 
nates externally, at the point where the fissure commences (after one hour),'. 
— (Tension about the thigh, while walking and stooping),'. — Bruised sen- 
sation in the muscles and bones of the thigh (after eighteen hours),'. — 
*Fain as if bruised, in the thighs, not in the flesh but in the bones; when 
pressing upon the part it seemed to be felt in the bone ; she was unable to bend 
the hiee and could not kneel; it seemed as if the bone would break,'. — [970.] 
*{Pain like a stiffness in the right thigh ; but when grasping it a soreness like 
a sticking miQ,'.J — A violent, pressive, bursting pain in the muscles of the 
thigh and upper arm (after two hours),'.— *A drawing pain in the mus- 
cles of the thigh, at night, that obliges him to move ; lie does not know 
what to do ; together with sleeplessness, tossing about the bed, even 
when there is no pain, and coldness all over,'. — *Drawing and tension in 
the thighs and legs, in the evening,'. — A sticking in the anterior portion 
of the left thigh, extending to the knee, and in the right calf to the heel, 
while lying, not during motion,'. — *A simple pain in the gluteal muscles, as 
if bruised or as in an internal suppuration, after sitting,^. — Knee, Unsteadi- 
ness and weakness of the knees; they involuntarily give way, while walk- 
ing,\ — *Painless swelling of the knee,'. — * Cracking in the knees,''. — *{A 
painful stiffness in the right knee, while tvalking, whenever the thigh is stretched 
out straight),'. — [980.] A small painful spot, as from a bruise, on one side 
of the knee,'. — * Weariness of the kness (not of the feet), on rising from a 
seat,'. — Pressure on the inner side of the right knee (fourteenth day),'^ — 

* Tension in the hoUoivs of the knees (immediately),'. — A paralytic pain iu 
the knees and heel, when beginning to walk after sitting, as though he had 
taken a long walk,'.^Tearing pain, extending from the knee to the hip, 
only while sitting, not while walking,'. — *Tearing and drawing pain in the 
knees,'. — * Tearing pain, with stvelling of th e knee,'. — * Tearing pain-like jerks 
in the knees (after three hours and a half),'. — Lef/S. *{Bleeding of the 
varicose veins on the legs),'. — [990.] Both legs and feet became much 
swollen,". — Visible jerking in one portion of the right calf, in the morning 
in bed, not without a disagreeable sensation,'. — * Heaviness of the legs during 
the day,'. — Heaviness of the leg, especially in the forenoon,'. — *The legs 
seem asleep, when rising after sitting,'.^ — Weariness in the legs, not when 
walking, but only while rising after sitting,'. — Tremulous sensation in the 
legs and knees, in the evening after lying down (after three days),'. — 
Simple pain in the legs,'. — Pain in the leg if he allows it to hang down,'. — 
*Pain in the bones of the legs like a pressure upon a suppurating spot, on 
walking a long time, especially in the afternoon, relieved by pressure, also by 
sitting but most by rest, at night,'. — [1000 ] A paralytic pain in the leg, on 
rising after sitting, disappearing on walking about,'. — Aching pains in the 
legs from the knees downwards, in the bones as it were (after three to four 
days),". — Drawing pain in the legs, from the feet to the knees, as after a 
long walk, relieved in the morning, and almost entirely disappearing,'. — • 

* Drawing pain in the legs, in the evening,'. — * Cramp in the leg, in the even- 
ing after lying down, with chilliness (after half an hour),'.|l — Tearing in the 
forepart of the right leg (thirty-fourth day),'^ — *The flesh of the legs 
hurts as if suppurating, especially in the evening after lying down ; a pain 

t Compare with 952, 1045. — Hahnemann. 
j Compare with 1128. — Hahnemann. 
j Compare with 582. — Hahnemann. 
II See note to 954. — Hahnemann. 



PULSATILLA. 231 

that is relieved by pressure with the hand (after three days),'. — Aching 
pain in both calves, which are naueh swollen (after six to seven days),". — 
Pain in the calves like a cramp, while walking,'. — *Tensive pain in the 
calves,\ — [1010,] Drawing tensive pain in the calves,'. — Drawing in the 
left calf (fourteenth day),'^ — Drawing on the inner side of the calves, on 
sitting down in the house, after a long walk (after thirty-six hours),'. — 
Pain as from a bruise, in the tibia,'. — Pain in the tibia, as from a blow 
with a cane, from afternoon till evening,'. — Pain as if beaten, in the tibia, 
especially on turning the foot outward,'. — The tibia is painful to touch,'. — 
Pressure in the left tibia (ninth and thirty-fourth days), 'I — Stitches from 
below upward, in the tibia, with external burning pain and er3'sipelatou3 
redness,°.f — AnTtle. Tearing in the ankle on moving the foot, in the 
morning, with dilated pupils, '.| — [1020.] Sudden pain as if sprained, in 
the ankle, while walking,'. — Violent pressure in the right external malle- 
olus, coming and going (fifth day),'^ — Violent boring pain above the right 
inner malleolus (thirty-fourth day),''. — Sticking and drawing pain in the 
right inner malleolus all day, while walking (twenty-second day),'^ — 
Tearing pain in the inner malleolus, aggravated by walking (after four 
hours),'. — Foot. *Bed, hot swelling of the feet, with tensive hurnivg pains, 
that on standing change to a sticking^. — Red, hot swelling of the feet, with 
itching crawling, as if frozen,'. § — Hot swelling of the feet, extending as far 
as the calves (after six to seven days),'*. — The feet became red, inflamed, 
and very painful,". — *Increased sivelling of the feet; the varicose veins 
swell up,''. — [1030.] *Feet swollen as far as the calves, a hot swelling,^. — - 
*Swelling of the feet} ; (after some days),'". — Swelling of the feet above the 
malleoli, not below,'. — Swelliug of one foot, in the evening,'. — '^{Suielling 
of the back of the foot, with tensive pain)^. — ^Swelling of the hack of the foot^. — 

* Great inclination to stretch out the feet, while sitting during the day (after 
twenty-four hours),'. — * Heaviness and drawing in the feet, less in the arms,'. 
— * Weakness of the feet, so that he can scarcely stand,'.|| — The feet seem 
weary, as though he had taken a long walk,'. — [1040.] * Weariness of the 
feet (after fifty hours),'. — Increased sensitiveness and crawling in the foot, 
as from too great accumulation of blood, on first stepping upon it in the 
morning,'. — A drawing from above downward into the feet, in the evening 
in bed,'. — Tension in the feet, after slight overloading of the stomach, at 
breakfast (after forty-eight hours),'. — ^Tingling and grumbling in the feet, 
while standing, disappearing on walking,^.— The, feet seem insensible towards 
evening, and yet very heavy ; they tremble, while walking (after forty- 
eight hours),'. — ^Tearing pain extending across the back of the foot to the heel, 
in the morning and evening,'. — ^Burning pain on the back of the foot, — 

* Boring sticking pain in the Aee^ (after three hours),'. — *Boring pain in 
the heels, towards evening (after fifty-eight hours),'. — -[1050.] Pressive 
pain in both heels (after six to seven days),'*. — Cutting pain in the heel, in 
the evening after becoming warm in bed,'. — *A burning sticking pain with 
itching, like that in frozen limbs, in the ball of the heel (after four hours),'.^ 
—A fine sticking iu the heels, in the morning in bed, disappearing after 

t Observed in a woman aged fifty-eight years, from. .01 grain of the juice of the 
plant. — Hahnema.nn. 

t Vm 1019, 1024, 1046, pee note to 294.— Hahnemann. 

§ Compare with 1151. — Hahnemann. 

II Compare with 976.— Hahnemann. 

If The sticking pains of Pulsatilla are usually burning sticking. — Hahnemann. 



232 PULSATILLA. 

rising/. — A numb pain, as after a great jump, and as if deadened in the 
soles of the feet and balls of the great toes, immediately noticed on stand- 
ing after sitting a long time; the pain gradually disappears, while walking 
(after one hour),'.t — Pain in the soles on stepping upon them, as if con- 
gested with blood, suppurated or ulcerated,\ — Pain in the middle of the 
sole (hollow part) on stepping, as if there were a swelling or an internal 
suppuration, with stitches extending up into the calves,^ — *The soles of the 
feet are painful, as if beaten,'^. — Tearing pains in the soles and above the 
knee,\ — A tearing pain in the soles of the feet, extending above the knees 
and into the baek,'.J — [1060.] Burning sensation in the soles of the feet 
(after six to seven days),''. — *A burning pain in the soles of the feet^.— 
Some stitches in the soles of the feet and in the tips of the toes, during 
rest,'. — A crawling, fine sticking pain in the soles of the feet, as if asleep 
or as if numb, while standing,'.^ — Toes. Pain in the toes, as if pinched 
by a shoe,'. — Violent cutting in the toes of the right foot (thirty-fourth 
and thirty-fifth days),'l — Violent cutting in the toes (twelfth day),'^ — 
Cutting in the toes of the right foot (eleventh day),'l — Violent stitches in 
the tips of the toes of the right foot, in the evening (eighth day),'^ — 
Sticking in the toes of the right foot (tenth day),"l — [1070.] Sticking in 
the toes, especially in the great toe (after one hour),'. — A burning sticking 
pain, associated with itching in the balls of the second and fifth toes, on 
becoming warm in bed in the evening, gradually increasing till it becomes 
very violent, like that in frozen limbs (after three hours),'. — Pain in the 
great toe, aggravated in the evening, and disappearing on lying down to 
sleep (after thirty hours),'. — Tearing jerks in the great toe (after three 
hours),'. — A numb pain in the ball of the great toe,'. 

Generalities. — Violent tremblings all over,". — * Trembling of the 
whole body, with cold perspiration, (after three hours),'. — *The child becomes 
very rigid from fretfulness,^ . — In sleep he lies upon the back, with the hands 
crossed upon the abdomen, with the feet drawn up,' § — *He lies in bed, 
most comfortably upon the back, with the feet drawn up; if he lies upon either 
side many spasmodic symptoms occur, for example, hsemorrhoidal pain in 
the anus, headache, as if the skull would burst, pain in the joints, tight- 
ness in the chest, anxiety (after thirty-eight hours),*.|| — [1080.] Impair- 
ment of motor power,^*''. — ^Excessive weariness from a short walk, for sev- 
eral daySj'.Tf- — Could scarcely walk a few minutes on account of weakness, 
and was then obliged to sleep for hours, and so alternately the whole day,'. 
— * Weakness of the whole body ; he is obliged to lie down (after three hours),'. 
— * Tremulous ivea.kness,^. — *The longer he lies in the morning the weaker 
he becomes and the more he wishes to lie, and indeed he desires to fall 
asleep again,'. — So great exhaustion after walking, at noon, that he can- 
not keep from sleeping, but the more he tries to keep awake the more 
sleepy he becomes,'. — * Languor, prostration, and desire to yawn (after some 
days),'". — *He is indolent and constantly ivishes to sit or lie}. — Faintness all 

f A pain in the periosteuna on external pressure, associated witli insensibility of 
the skin and muscles. — Hahnemann. 

j For 1058, 1069, see note to 294. — Hahnemann. 

^ Compare 1079, — Hahnemann. 

II 1079 and 1110. This condition is the most common, thonjih not seldom it alter- 
nates with another, in which a pain, occurring in a part wliile lying upon the back, 
disappears when lying upon the painful part, or upon the side generally," see, for 
example, 682, 916. — Hahnemann. 

T[ Compare with 1108. — Hahnemann. 



PULSATILLA. 233 

the morning ; she is obliged to call repeatedly for water (after some days),'^ 
— [1090.] *Restless mood, as if he had not done his duty satisfactorily (after 
eighteen hours),'. — The child grunts and groans if it is carried, or when at 
stool,'. — ^Inclination to stretch,^. — ^Heaviness of the whole body (after eight 
hours),'.f — "^ Great heaviness and great chilliness in the arms and legs,''. — 
Sensation of immobility and stiffness of the body,'. — -^Everything about the 
body seems tight; she viishes to throw off her clothes,^. — Extremely distressing 
sensation in the whole body, causing despair, so that he does not know 
what to do ; he cannot sleep nor in any way become quiet,'. — ^Sensation in 
the whole body as if he had been awake all night, with confusion in the head, 
as after intoxication (after twelve hours),'. — *reeling of discomfort over 
the whole body, in the morning after rising, disappearing on moving 
about (after twenty-two hours),'. — [HOC] Drawing-tearing pains, here 
and there, in the whole body, in transient but frequently recurring attacks,'. 
— Jerking-drawing pains in the muscles, as if they were stretched on a 
cord, not in the joints,'. | — Jerking pain in the leftside (after four hours),'. 
— Painful paralytic sensation about the ligaments of the joints,'. § — Stitches 
in fresh wounds, in the evening,'. — Feels as if tired and worn out, though 
she has had no work to cause it,". — Numbness of the integuments, then 
general ansesthesia,""*. — Distressing throbbing in the veins through the 
whole body, mostly felt during motion,'. |1 — Troubles from the open air; he 
dreads it (after six to eight hours),'. — *He longs for fresh air, although the 
colic and qualmishness are aggravated in the open air (after ten hours),'. — ■ 
[1110.] *When lying upon the back the pains decrease, and disappear, 
but when lying upon either side they increase or recur (after twenty-four 
hours),'. — *2%e symptoms are especially violent every other evening,'^. — 
♦Symptoms relieved in the open air (after half an houi;),'.T[ 

Skill. — Eruptions, Dry. Peeliug of the epidermis down, even to 
the raw flesh, on the outer margin of the lips,'. — The epidermis of the lips 
becomes fissured (after two hours),'. — (Red, hot spots on the body, that be- 
come raised into pimples, as from the touch of burning nettles, with itch- 
ing-biting pain),'. — Reddish spots on different parts of the body (after six 
to seven days),'*. — A hard red elevation on the right cheek, in front of the 
ear, with burning constrictive pain (after five days),'. — A scurfy eruption 
appears on the tragus with burning-biting pain, with watery exudation, 
and a glandular swelling farther down on the neck that is painful to 
touch,'. — Small (not inflamed) swellings beneath the skin, above the elbow- 
joint, that are painful to touch,'. — [1120,] Somewhat elevated and red spot 
on the back of the foot, very painful, even to touch, with prickling stick- 
ing pain, as if an ulcer would form,'.ff — An eruption of pimples upon the 
forehead, face, shoulders, chest, and lastly upon the back,'''^^ — -A large red 
pimple in the region of the zygoma,'. — A pimple on the side of the neck 
that itches; the itching is not relieved by scratching or rubbing (after 

t The weariness and weakness in any part of the body in Pulsatilla is usually 
expressed as a heaviness. — Hahnemann. 

t Compare with 294. — Hahnemann. 

§ This symptom is noticed especially in the evening, as it becomes dark, with a 
painful sensation in all the joints of tiie limbs, as in the commencement of a par- 
oxysm of intermittent fever, with chilliness — Hahnemann. 

II Compare 118, 119, 120, 140, 829.— Hahnemann. 

if 1108, 1109, 1112, three alternate symptoms of Pulsatilla, the first of which seems 
to take precedence, i. e., is most frequent and most marked. — Hahnemann. 

ft To be interpreted according to note to 802. — Hahnemann. 



234 PULSATILLA. 

twenty-one hours),'. — Eruption of pimples on the neck, below the chin, 
painful on touch ,\ — Pimples on the scapulae, and as far as the middle of 
the back, with constant itching, especially in the evening on undressing,^ 
— (Eruption of pimples in the hollows of the knees),'. — Eruptions, 
Moist. Several small pimples, as large as peas, containing pus, with 
burning sticking pains, in the groins,^ — Pimples, containing water, between 
the fingers, with fine sticking pains, as from splinters, whenever they are 
touched or moved (after four days),'. — Pimples, oozing moisture, on the 
leg, with burning pains,'. — [1130.] [Blisters on the paralyzed arm, that 
subsequently filled with matter and desquamated],".! — Eruptions, 
Pustular. Boils here and there,'. — *An abscess at the root of the nose, 
near the inner eanthus, as if a lachrymal fistula would /orm,'. J — * The wing 
of the nose is externally ulcerated and oozes a watery moisiure (after six 
hours),'. — An ulcer (that existed) is inclined to bleed,'. — The redness 
about an ulcer becomes hard and glistening,'. — Sensations. Painful sen- 
sitiveness, like soreness of the skin, in the lips and face, when touched,'.— 
A place that had formerly been burned, but was now healed, becomes 
painful to touch,'. — The pain in an ulcer is aggravated when one is about 
to eat,'. — Stitches in an ulcer, that cause shuddering through the whole 
body, with violent sticking pains, that frequently change to a burning, 
about the ulcer,'. — [1140.] Stitches shooting upward into the ulcer on one 
foot; a burning in the ulcer on the other foot (after twenty-four hours),'. 
—A burning biting in the region of the scab (of an ulcer), in the morning 
in bed (together with dry cough), (after twenty hours),'. — *A burning, as 
from glowing coals, near or above an ulcer on the foot, in the morning, lasting 
two minutes,^. — * Biting in an ulcer on the foot, just before dressing it, in the 
morning and evening,\ — *A (burning) itching over the whole body, on 
becoming warm in bed, before midnight, aggravated by scratching ; is 
unable to sleep on account of it ; less during the day, and only after be- 
coming heated from walking or after rubbing ; there is no appearance 
of an eruption,'. — *Biting itching here and there in the skin,'. — Biting 
itching on the upper portion of the sternum, not relieved by scratching, 
in the evening (after thirty-six hours),'.§ — Biting itching on the side of 
the neck after shaving off" the beard, not relieved by scratching and rub- 
bing, but it ])ains (after five hours),'.|| — Biting itching on the tip of the 
elbow-joint, like itching and rubbing with wool (after two hours),'. — A 
violent sticking-biting pain in an ulcer, with itching about it,'. — [1150.] 
A crawling itching in and above the navel, painful after scratching,'. — 
Itching crawling in the toes, like that in frozen limbs, in the evening.'.^f — 
Tickling itching under an ulcer on the foot,'.^*Intolerable itching, in the 
evening in bed,". — * Itching, fine sticking sensation in the skin, as from nu- 
mfrous Jleas,^. — Unusual itching about an ulcer, as if it would heal,'. — 
Itching in the region of the chin, especially in the evening,'. — Frequent 
itching of the scrotum, especially in the morning and evening,'. — Itching 
of the scrotum, in the morning, before and after rising,'. — Itching of the 
right nipple, not relieved by scratching (after twenty-four hours),'. — 
[1160.] * Itching on the neck and on the cheeks ; on scratching pimples appear^. 

f See note to 902. — HnOHKS. 

X Compare with 185 and 189. — Hahnemann. 

I Compare 1146 and 1169 with 1123 and 1147.— Hahnemann. 

II Compare 1123, 1146, 1159. — Hahnemann. 
\ Compare with 58S. — Hahnemann. 



PULSATILLA. 235 

— *Itching on the bach and across the loins^.—*An itching that obliges scratch- 
ing, but that is not followed by blisters, on the forearm, especially on the back 
of the hand and between the fingers,^. — * Itching on the backs of the feet and 
between the breasts, in the morning in bed,^. — Paiuful, intolerable itching; 
an itching-sticking in the feet and toes, that seem inflamed, especially close 
to the roots of the nails, as if the limbs had been frozen, penetrating the 
whole body, before midnight, but without subsequent painful numbness on 
walking, as is noticed in actually frozen feet,\ 

Sleep, — Sleepiness. Yawiiing,\ — *{Sleepiness during dinner),^. — 
*Irresistible sleep, in the afternoon,'.— *(S'feep2/ at an unusual time, either 
late in the morning or early in the evening,'. — Constant dreamy sleepiness,'. 
— [1170.] He can scarcely keep awake, in the evening, yet without 
weariiless (after four days),'. — Sleep much too long, with closed eyes; at 
first the sleep is only a nap, full of fantasies and dreams,'. — She feels un- 
usually heavy for sleep (after some days),'". — She becbraes overpowered by 
sleep, and is obliged to sleep in the middle of a meal, at noon,'. — Slumber- 
ing, with jerking of the arms and feet,'. — During sleep, the child drew the 
mouth back and forth, opened the eyes, distorted them and closed them 
again, and twitched the fingers,'. — * While sleeping, he lies upon the back 
with the hands above the head,'. — During sleep she sat upright, with staring 
eyes, and said, " Drive that man away,'". — *Is frightened in sleep and 
starts,'. — Screams and starts up in sleep, frightened by a black dog, a cat; 
tries to drive away bees,'. — [1180.] *He moves to and fro during sleep,'. — 
Talking of foolish things, that seemed to float before him, while half awake, 
after midnight,'. — * Talking in sleep (after forty hours),'. — Snoring through 
the nose on inspiration, while sitting, during the nap, in the afternoon,'. — 
Slee2)lessness. Sleeplessness, with rush of ideas,'. — *Sleep before mid- 
night prevented by a fixed idea ; for example, a melody constantly recurred 
to his mind, yet sleepiness prevented activity of memory and fantasies,'. — 
* Sleeplessness on account of orgasm of blood,'. — Sleepless ; lie became perfectly 
wide awake every three hours during the night,'. — * Sleeplessness, ivith ex- 
treme restlessness,'. — *Cannot fall asleep, in the evening, on account of an 
anxious sensation of heat (after four hours),'. — [1190.] *Could not fall 
asleep for a long time, in the evening, in bed, then woke earlier than 
usual without being able to fall asleep again,'. — *IIe is unable to fall asleep 
at night before 2 A.M.,l — *Sleep dull, stupid, restless, during ivhich he tosses 
about,'. — *Sleep at night restless ; on account of an intolerable sensation 
of heat he was obliged to throw off the covers, with internal warmth of 
the hands, without perspiration,'. — During the first three nights, he could 
sleep only while sitting with the head bent forward, or to one side, and 
could not fall asleep before midnight,'. — After lying down, in the evening, 
he slept for an hour and a half without dreaming, then woke and remained 
wide awake until morning ; was constantly obliged to turn over,'. — *Is 
unable to fall asleep, in the evening,". — * Quite restless sleep, with tossing 
about the bed, as from too great warmth,^. — He easily woke, in the evening, 
-before midnight,'. — *She woke before midnight and dreamed a great deal; 
quiet sleep only after 2 o'clock; the next forenoon she was so weary that she 
could have slept half the day,'. — [1200.] * Waking very frequently during the 
night and remaining awake; during the day .sleepy,'. — *Woke frequently on 
account of vivid dreams ; for example, that he ivas falling,'. — * At night he 
woke as if frightened and dazed ; did not know where he was, and was not 
quite conscious (after five, and twelve hours),'. — She frequently sprang out 
of bed, because it seemed as though she would feel better out of bed,". — A 



236 PULSATILLA. 

very light superficial sleep ; afterwards it seemed as though he had not 
slept at all,'. — Dreams. * Vivid dreams of a subject that had happened or 
been sjjohen of during the previous day,^. — *Very vivid dreams and fantasies, 
after midnight, that uninterruptedly exercised his thoughts and caused 
weariness ; an almost constant recurrence of the same subject till he woke 
(after forty-eight hours),'. — * Slumber full of dreams of disconnected subjects, 
that she dreams of one by one, with the echo of words, though the names 
do not con-espond to the subjects of the dream ; hence disconnected loud 
talking during such a sleep,'. — Dreams of quarrels (after twenty-four 
hours),'. — ■'^'Dreams of frightful things; for exatnple, that he had been 
beaten and was unlucky ; sobbed and wept aloud in sleep, and on waking the 
dream seemed so vivid that he was obliged to take deep breaths, as if sigh- 
ing,'. — [1210.] *Co]ifused dreams at night,' ; (after six to seven days),". 
— Frightful dreams; he was obliged to get up (after five hours),'. — 

* Frightful dreams; starting up in sleep in affright,^. — * Dreams at night full 
of fright and disgust,^. — *Sleep full of dreams, in which he starts,^. — Anxious 
dream in the morning, and anxiety continuing after waking; fearfulness 
and dread at frightful unreasonable fantasies (the same that appeared in 
his dream), (after six hours),'. — Lascivious dreams in the evening and 
morning, almost without sexual excitement,'. — Amorous dream, with semi- 
nal emission (third day),^^ — Dread of men; she fancies a naked man is 
wrapped in her bedclothes and rolled up under her bed, while she has only 
a sheet to cover her ; all her dreams are about men (after six to seven 
days),'l 

Fever. — Chilliness. *Gonstant chilliness through the whole body, 
especially in the back, with cold hands (thirty-fourth day),''''. — [1220.] 
^Chilliness, yawning, and stretching before the appeararance of the 
menses,'. — Chill and internal chilliness; it constantly seems as though one 
would freeze, even in a warm room, in the morning and evening,'. — *Chil- 
liness all over, without shivering ; he feels cold ; in the evening,',— 
*Chilliness the whole evening, before bedtime, even while walking,'.— 
Chilliness the whole day, and three times flushes of heat in the face,'. — 

* Chilliness, without gooseflesh, in the evening,^. — * Chilliness on going from a 
warm room into the cold air,^. — ■* Chilliness, with pains, in the evening.^.f — 

* Chilliness in the house, in the evening,^. — * Chilliness, in the evening, after 
lying down; after lying, slight heat,'. — [1230.] * Chilliness, without sensa- 
tion of beirig cold, mingled with a sensation of heat, in warm room, towards 
evening,'. — Chilliness, in the morning, on rising from bed,'. — Cold chills 
all over (after some days); she is obliged to lie down and get herself cov- 
ered up; even this does not warm her; it is like an attack of ague coming 
on (after some days),'". — *Febrile chill, without thirst; thirst during the 
heat,^. — *Sensation of chilliness, with trembling, returning after a few minutes, 
followed by some heat, without perspiration^. — Chilliness, without cause, to- 
wards evening,'. — Chilliness, mingled with warmth (after half an hour), 
followed by great warmth in the face and rest of the body,'.J — In the eveu- 

f Compare 954 and 1004. — Hahnemann. 

j The intermittent fever that Pulsatilla is able to excite Imn ihirst timally only 
during the hccU {not during the chi.ll), seldom after the heat or before the chill. When 
there is only a sensation of heat without externally perceptible heat, the thirst is want- 
ing. An alternate condition consists of a sensation of heat mingled with coldness. 
There are still other variations, alternate actions, which are however more seldom, 
and hence less important, or at least rarely useful as curative indications. — Hahne- 
mann. 



PULSATILLA. 237 

ing he became chilly; after a few hours, heat rather external, with weak- 
Dess and weariness; during the night, heat was only internal and quite 
dry, without perspiration till about 5 a.m., followed by confusion of the 
head, and in a few hours bloody expectoration from the chest, that after- 
wards assumed the color of liver,'. — *Slight chilliness, in the afternoon,''. — 
Very transient chilliness, at noon, after dinner (after six hours),'. — [1240.] 
* Chilliness over the upper abdomen and upper arms, after dinner (after five 
hours),'. — *Chilliness over the abdomen, extending around even to the 
lower portion of the back,'. — *A slight chill, especially in the lower part of 
the back {sacrum), {and a pressure in the region of the stomach), after a stool,'. 
— *Much chilliness along the back (fourteenth day),''. — Chilliness felt only 
on the thighs, which were also cold, while the legs and feet were warm, 
towards evening,'. — Shivering,'. — Repeated shivering,'. — Shivering, as if 
sweat would break out,'. — The child shivers whenever, it coughs,'. — Shiver- 
ing, almost without chilliness, so that the hair bristles, with anxiety and 
oppression, ".f— [1250.] Shivering on one side of the face,'. J — ^Shivering on 
the back, extending into the hypochondria, and especially into the anterior 
portion of the arms and thighs, with coldness of the limbs and a feeling as if 
they would fall asleep, about 4 p.m. (after ten hours), ^.^*Sliiver ing running 
up the back all day, without thirst,^. — * Creeping shiverings over the arms, 
with heat of the cheeks; the air of the room seems too hot,'. — Coldness, pale- 
ness, and perspiration over the whole body, lasting two hours (after two 
hours),''. — Sensation of coldness in the arms, as if they would fall asleep 
(after seventy-two hours),'. — (Coldness of the hands and feet during rest, 
while sitting),'. — *Cold hands and feet; they seem dead,'. — The hand and 
foot on one side are cold and red, on the other side hot, in the evening and 
at night,'. § — Sensation of coldness in the leg, though it was as warm as 
usual,'. — [1260.] (Coldness of the knee in bed, at night),'. — Heat. Vio- 
lent heat all over at 7 p.m., with inclination to wrap up, and with violent 
thirst for beer,". — *Heat of the whole body, except the hands, which are cool, 
with pressive headache above the orbits and anxious lamentations,'. — Heat of 
the whole body, for an hour, in the afternoon,'. — ^Anxious heat over the 
whole body, though the hands are mostly hot and burning, with tearing 
headache in the occiput,'. — *Anxious heat, as if he were dashed with hot 
water, with a cold forehead,' . — Very feverish and thirsty,". — Much feverish- 
ness; she was obliged to confine herself to bed (after some days),'". — Heat, 
and a sensation as if sweat would break out, in the morning in bed,'. — 
*H8 is hot, during which he wishes to be covered; he licks the lips and 
does not drink, moans and groans,'.— [1270.] *Intolerable burning neat at 
night, in bed, with uneasiness,''. — ^Intolerable dry heat at night in bedj\ — 
*J)ry heat of the body, in the evening, with distended veins and burning 
hands, that seek out cool places,'. — *Internal heat, with thirst (not immod- 
erate), in the afternoon,'. — Dry heat over the whole body night aud morn- 
ing,'. — (Heat at night, and on turning over in bed shivering),'. — * Attacks 
of jflitshing heat (after twelve hours),'. — Sudden heat, with much sweat of 

t An alternation with 1.304. — Hahnemann. 

j liecurrence of symptoms on only one side of the body is frequent in Pulsatilla; 
compai-e 21, 28-5, 1102, 1140, 1258, 1277, 131U, 1317. Something similar occurs in 
Khus, Belladonna, and Cocculus. — Hahnbmann. 

I This redness, even of cold parts (compfire 1018 and 1091), exhibited by the 
power of Pulsatilla to cause distension and swellinji; of the veins, even without heat, 
and also other experiences not here included, indicate the production oj varices by 
Pulsatilla; compare 930 and 1268. — Hahnemann. 



238 PULSATILLA. 

the face, trembling of the limbs, and a faintlike obscuration of vision,'.f — 
Wakened by a sensation of heat,'. — *Sensation of heat, at night, without 
thirst (after thirty-six hours),'. — [1280.] *External warmth is intolerable ; 
the veins are enlarged,'. J — * With her clothes on she was too warm, and on 
taking them off she was chilly (after ten hours), '.§ — *Sensation af warmth, as 
if in too hot a room (after three hours),'l — Warmth in the upper part of the 
body, in the afternoon; internal chilliness, without external coldness of the 
lower part of the body,'. — Warmth and sensation of warmth in the face,^ 
— Heat in the forehead (twelfth day),'^ — Heat and perspiration of the outer 
ear,'. — Redness and burning heat in the face (immediately), followed by 
paleness of the face,^ — Sudden heat and redness of the cheeks, with warm 
perspiration on the forehead, especially in the evening; during and after 
heat of the face shivering in the back and over the arms, without goose- 
flesh, and a boring-outward headache, with dull stitches, intermingled with 
frequent attacks of anxiety,'. — Heat of the whole face, in the evening,'. — 
[1290.] Her face became very red every evening, with feverish heat (after 
three to four days),". — Burning heat on the chest and between the scapulae, 
at 6 P.M., and at the same time chilliness on the thighs and legs, without 
thirst,'. — Heat of one and coldness of the other hand,'. — *Heat of the hands 
and Jeet (after four hours),'. — Feet hot,'. — Constant burning and heat of 
the feet during rest, aggravated by walking a distance,'. — At first heat, 
then violent chilliness,'. — At first chilliness, then heat and sensation of heat 
in the head and hands, with a full slow pulse (after twelve hours),\ — 
Fever; general heat and sweat after a shaking chill, with drawing-jerking 
pains in the long bones of the limbs,'. — ■'*' Heat, followed by shivering,'^ — 
[1300.] *Fever ; thirst about 2 p.m., followed about 4 p.m. by chill, with- 
out thirst, with coldness of the face and hands, with anxiety and oppres- 
sion of the chest ; afterwards, lying down, and drawing pains in the back, 
extending to the occiput, and thence into the temples and crown of the 
head ; three hours afterwards, heat of the body without thirst ; the skin 
was burning hot, but there was sweat only on the face, trickling down in 
large drops like pearls, sleepiness without sleep, and lull of restlessness ; 
the next morning, sweat over the whole body (after seventy hours),'. — 
* Fever; repeated shivering in the afternoon; in the evening, general burning 
heat and violent thirst, frightfxd starting up preventing sleep, pain like ivan- 
dering labor-pains, painfulness of the whole body, so that she could not turn 
over in bed, and ivatery diarrhoea, \ — * Fever; very violent chill, in the even- 
ing, with external coldness, without shivering and without thirst; in the morn- 
ing a sensation of heat, as if sweat ivoald break out (which does not), without 
thirsty and without external heat, though with hot hands and aversion to un- 
covering (after twenty-six hour.^),'.|| — Fever; chill every afternoon, about 
1 o'clock, with hot ears and hands,'. — Fever; violent chill, followed by a 
mingled sensation of internal heat and shivering; afterwards general burn- 
ing heat, with very rapid pulse and very rapid respiration, with A^MhU 
anx\e:X.y,\— Sweat . * Profuse sweat, in the morning (after forty-eight hours),'. 
— * Easy perspiration, in the morning,^.— Slight general perspiration during 
a stupefied slumber, with vivid dreams, after midnight,'.^— Slight general 
perspiration,'. — *lnclination to sweat, in the morning,^. — [1310.] Inclination 



t Compiire with lilO, 211, 212, 213, 214, 220.— Hahnkmann. 

I Compare with 82.5, 120.5, 1281, 1282.— Hahnkmann. 
i Compare with 1096 —Hahnemann. 

II Compare with the alternate action of 1238.— Hahnemann. 
f Compare with 1315.— Hahnemann. 



PULSATILLA. 239 

to sweat during the day (after fourteen, and thirty hours),'. — Heavy per- 
spiration at night (after some days),'^ — Profuse offensive nightsweat,".t — 
Sweat all night, with stupefied slumber, full of visions and thirst for beer,'.| 
' — Nightsweats fourteen nights in succession,'. — *Sweat during the sleep, in 
the morning, disappearing after waking,^. — *Siveat only on the left side of the 
body (after forty hours),^— *>Si(Jea< only on the right side of the body,'. — *Sweat 
on the right side of the face,'. — * Perspiration on the face and scalpi''. — [1320.] 
All day the sweat pours down her back (after some days),'^ — Hand sweaty, 
in the morning, after rising,'.— Profuse sweat of the feet every morning in 
bed (curative action?), after the cure of a swelling of the feet,'. 

Conditions, — Aggravation. — {Morning), Solicitude; after waking, 
discontented ; on rising, vertigo ; on walking in the open air, dizziness; 
headache in occiput ; dryness of eyes, etc. ; burning pain in eyes; margins 
of lids swollen ; inner canthi agglutinated ; eyelids agglutinated; on rising 
from bed, dark before eyes ; in bed, twittering in the ear, sneezing ; blowing 
of blood from nose ; smell as of old catarrh ; looseness of teeth ; toothache ; 
dryness of the tongue ; on waking from sleeping, mouth covered with mucus; 
bad odor from mouth ; dryness of palate, tongue, and lips; slimy taste; puru- 
lent taste; bitter taste ; throat covered with mucus; aversion to milk; thirst 
for beer; sour eructations; after taking milk, qualmish nausea; pressure in 
pit of stomach ; pain in pit of stomach ; on rising from bed, clawing in stom- 
ach ; colic; pain in small of back; in bed, itching in region of seminal 
vesicles; sexual excitement; difficult respiration; after rising, oppression 
of chest; stiffness of the pectoral muscles; after waking, jerking in pectoral 
muscles; in bed, on bending forward, sticking in loins; after rising from 
bed, weakness and weariness in limbs; in bed, pain in limbs; jerking in 
forearm; tension in joints of fingers; trembling of lower extremities; in 
bed, pain from hip-joint to knee ; jerking in right calf; tearing across back 
of toot; in bed, sticking in heels; after rising, feeling of discomfort; iu 
bed, biting in the region of an ulcer ; itching; itching of scrotum ; in bed, 
itching on the balls of the feet and between the breasts; on rising from 
bed, chilliness ; in bed, heat ; sweat ; sweat of hands and feet. — (Fore- 
noon), Tension in stomach ; pressure in left hip and in head ; heaviness of 
the legs. — {Toward noon). Fiery circles before eyes. — {Noon), After walk- 
ing, exhaustion. — {Afternoon), Anxiety; heaviness and heat of head; 
frontal headache ; itching in right ear; toward evening, sticking tooth- 
ache ; 6 P.M., bitter taste ; pain in stomach ; rheumatism in nape of neck ; 
till evening, pain in tibia ; sleep ; warmth in upper parts of body ; 1 
o'clock, chill. — {Evening), Dread of ghosts; towards sundown, morose; in- 
clination to mental labor ; dizzy reeling ; headache ; headache, extending 
into eyes; stitches in forehead; tearing in frontal bone; dryness of right 
eye; burning pain in eyes; sticking in lids; itching and burning in lids; 
itching in inner canthus ; itching on the eyeballs ; itching in right ear ; in 
sleep, sneezing; on going to bed, stoppage of the nose; 6 to 11 p.m., tooth- 
ache; after lying down, offensive odor from mouth; after drinking beer, 
bitter taste; appetite; thirst; bilious eructations; vomiting; colic and 
rumbling in abdomen ; in bed, moving of flatus in intestines; before eat- 
ing, colic ; every other day, cutting pains iu abdomen ; blind haemorrhoids; 
pressure in bladder; before lying down, burning in neck of bladder; after 

t It was noticed in a case of chronic syphilitic ulceration and bone-pains. — 
Hahnemann. 
t Compare with 103, 1210, 1307.— Hahnemann. 



240 PULSATILLA. 

lying down, cough ; dyspnoea ; pain in sacrum ; drawing in the lower ex- 
tremities, with chill; in bed, twitching of muscles of thighs; drawing and 
tension in thighs; after lying down, tremulous sensation in legs and knees; 
pain in legs ; cramp in the leg; swelling of one foot; in bed, drawing from 
above downward into feet; tearing across back of foot; after becoming 
warm in bed, pain in heel; pain in balls of toes;, pain in great toe; stitches 
in fresh wounds; on undressing, itching of pimples on scapula; in bed, 
itching; itching of scrotum ; sleep; chilliness; dry heat of body ; heat of 
face. — (iV^i^r/ii), Anxiety ; bubbling in head; 2 a.m., toothache; offensive 
odor from mouth ; bitter eructations ; in sleep, hiccough ; vomiting; colic; 
diarrhoea; pressure in bladder; in bed, involuntary micturition; emis- 
sions; rush of blood to chest and heart; stitches in scapulae; pain in arm; 
in bed, burning heat ; sweat. — {Before midnight). Vomiting ; on becoming 
warm in bed, itching over whole body. — {Midnight) ,Throhh\'ag headache; 
thirst. — {After midnight), Dryness of throat. — {In the open air), Lachry- 
mation ; burning in cheek; colic and qualmishness. — -{On awaking), Head- 
ache. — {Bending arm), Heaviuess.— {Bending body backward), Pain in 
small of back; pain in hip. — {Breathing), Pain in chest. — {Brushing 
hair). Pain on scalp. — {Chewing and biting), Pain in tooth. — {Coming into 
a warm room). Headache, with obscuration. — (^ Coughing), Sensation a? if 
stomach turned over; pain in abdominal muscles ; stitches in back ; stitches 
in shoulder ; stitches in sides ; pain in side. — {After dinner), Stitches through 
brain; shortness of breath; palpitation. — {Gold drinks). Toothache. — 
{After drinking). Coffee, uprisings of sour liquid; qualmish nausea; colic. — 
{Drawing inward walls of abdomen), Pain in stomach and abdomen. — 
( When about to eat), Pain in ulcer. — {Eating), Toothache ; nausea. — {After 
eating). Seems intoxicated ; sourish taste; bitter taste; eructations; qualm- 
ish nausea ; pain in stomach ; flatulent distension ; offensive flatus ; fulness. 
— {Eoery other evening). The symptoms. — {Exerting the mind). Headache in 
the forehead. — {On falling asleep), Shuddering and jerking in head. — {On 
hawking). Taste of bad meat in mouth. — {During heat). Thirst. — {Inspira- 
tion), Pain in pit of stomach. — {Looking intently). Headache.— (iooii)iy 
upward), Vertigo. — {Lying down). Stitches in occiput; stitches in side. — 
{Lying still). Pain in small of back ; falling asleep of forearms. — ( While 
lying down), For midday nap, headache; stiffness and pain in small of 
back; sticking in an anterior portion of left thigh. — {After lying down). 
Headache in side on which he does not lie. — {Lying upon either side), Spas- 
modic symptoms. — -{Lying upon left side). Anxiety and palpitation. — 
{Lying upon right side). Cutting in lower rib. — {Lying outstretched upon the 
back). Dyspnoea, with vertigo. — {Before appearance of meases). Chilliness, 
yawning, and stretching. — {During the menses). Black before the eyes; 
nausea at night ; pain in stomach ; pressive pain in abdomen and small of 
back ; on breathing, sticking in chest ; pain in side. — {Motion), Confusion 
and vertigo ; pain in small of back ; sticking pain between scapula ; crack- 
ing in scapula; pain in elbow-joint; pain in wrist. — {Moving body), Stick- 
ing pain in chest. — {Moving head), Cracking in the ears ; cracking in first 
cervical vertebra. — {Moving eyes). Headache in orbit. — {Moving muscles of 
face). Pain in eyes. — {Moving arm), Pain in shoulder-joint. — {Moving foot), 
Tearing in ankle. — {Opening the moM<A), Sticking in last back tooth. — 
{After overloading the stomach), Tension in feet. — {On attempting to raise 
arm), Sensation of weight in shoulder-joint. — {Raising the eyes). Pain in 
forehead. — {Raising arm). Sticking in pectoral muscles. — {Reading), Pres- 



PULSATILLA. 241 

sure ill eye. — (During rest), Anxiety ; stitches in soles of feet and toes. — 
{On rising), Pain in small of back ; pain in side. — {On rising and walking 
about), Dizzy obscuration of vision. — {Rising after stooping), Pain in back. — 
{Rising from a seat), Obscuration of vision ; weariness of legs. — {Scraping 
in chest). Cough. — {Scratching), Itching over body. — {After shaving off 
heard). Itching on side of neck. — {Shaking head), Sticking in left eye. — 
{While sitting). Vertigo ; whirring and dulness in head ; pain in abdominal 
muscles; itching in prepuce; sticking in left wall of chest; pain in right 
scapula ; inclination to stretch feet. — {After sitting), Pain in small of back. — 
(Solid food), Qualmishness. — (During sleep), Jerking of the limbs. — 
(While slumbering), Qualmish nausea. — (Smoking), Nauseous taste; hic- 
cough; qualmish nausea; asthma. — (Standing), Tearing, extending into 
anus ; tingling and grumbling in feet ; after sitting, pain in heels ; pain in 
soles. — (Stepping upon feet), Pain in soles. — (During stool). Bleeding of 
anus; burning in rectum ; drawing in back. — (After stool). Colic; sore pain 
in anus. — (Stooping), Vertigo; heaviness of head; pressive headache; 
headache in forehead ; pain in root of nose ; pain,in small of back ; tension 
about thighs. — (During suppression of menses). Qualmish nausea. — (After 
supper), Flatulent colic. — ( On swallowing), Sensation of swelling, rawness, 
etc., in throat. — (During nightsweat), Cramp in the hands and arms.— 
(Taking warm things in moM<A), Toothache. — (Talking), Pain on side of 
palate ; palpitation. — ( Touch), Pain in upper arm ; pain on side of palate. 
— (Before urinating). Pressure. — (After urinating), Pain in urethra ; burn- 
ing in urethra ; pressure and crawling in glans penis. — (After vomiting), 
Burning in pharynx. — (Walking), Nertxgo; reeling; crackling in brain; 
pressive headache; obscuration of vision; pain in abdomen; itching in 
prepuce ; weakness of thigh ; tension about thighs ; stiffness in right knee ; 
pain in calves; pain in ankle; pain in inner malleolus; trembling of feet. 
— (Walking in open air), Vertigo; headache; pressure upon neck of blad- 
der; sensation of stiffness in lower extremities. — (Walking a distance), 
Burning heat of feet. — ( Walking over a high bridge), Vertigo. — (After 
walking about in the room), Fretful and without appetite. — (After walk- 
ing). Pain in fourth lumbar vertebra. — ( Warmth of bed), Toothache.— 
(Warmth o/,sfot)e). Throbbing in the gums. — (Cold ivater). Toothache. — 
(In the wind), Toothache. — (When writing). Omits letters. — (Yawning), 
Pain in parietes of lower abdomen. 

Amelioration. — (Morning), Pain in legs. — (Evening nap), Tooth- 
ache. — (Open air). The symptoms. — (Draft of cold open air), Toothache. — 
(Bending backward or forward), Pain in small of back.— (J/ter eating), 
Jerks in stomach. — (External pressure). Throbbing headache. — (Lying 
upon the back). The pains. — (Lying on painful side). Cutting in one of the 
lower ribs. — (Motion), Tremulous anxiety; tension in stomach; falling 
asleep of forearms ; pressure in left hip and head. — (Pressure of hand), 
Pain in region of heart. — (Rest at night). Pain in bones of legs. — -(Rising 
up). Stitches in occiput. — (Rubbing), Itching of pimples on neck. — (Scratch- 
ing), Itching of pimples on neck. — (Sitting up in bed), Cough. — ( While 
sitting). Vertigo. — (Loose stool), Tormina ; sharp pain in abdomen. — 
(Stooping), Colic. — ( Uncovering), Toothache. — ■( Vinegar), Sticking tooth- 
ache. — ( Walking), Headache in forehead ; stitches and pressure in prsecor- 
dial region ; pain in small of back; ^lain from hip-joint to knee; tingling 
and grumbling in feet. 

VOL. VIII. — 16 



242 PULSATILLA NUTTALLIANA. 



PULSATILLA NUTTALLIANA. 

Anemone Niittalliana, DC, A. patens var Nuttalliana, Gray (Pulsatilla 
Nuttalliana, Gray). 

Natural order, Ranunculaeese. 

Common names, Pasque flower (American). 

Preparation, Tincture of the whole plant. 

Authorities. 1, W. H. Burt, M.D., U. S. Med. and Surg, Journ., 1, 65, 
took 4th dec. dil., 1 ounce daily, for five days ; then 2d dil. same way, oh 
the eighth and ninth days ; 1 a, same, took of a maceration of a small plant, 
in alcohol, a quarter of an ounce, first day; half an ounce, second .day ; 2, 
Miss C, aged eighteen, took tincture, repeated doses, for eight days of 5 to 
30 drops, Hale's New Remedies, 2d ed ; 2a, same, took 20 drops to 1 tea- 
spoonful doses ; 3, Mrs. W. (has passed her menstrual period four days, but 
feels well), took, of a drachm of tincture in half a glass of water, a tea- 
spoonful every hour during two days ; 4, T. C. Duncan, Hale's New Reme- 
dies, took of tincture diluted one-half, half an ounce, first day, 3 drachms 
second day ; (5 to 16 proviugs by Dr. C. Wesselhoeft, Trans. Am. Inst, of 
Hom., 1868) ; 5, a man, aged thirty-two, took a drop of 3d dec. dil. 10 p.m., 
first day, and at 10 a.m., second day ; 5 a, same, three doses of same in one 
day; 5 6, same subsequently took 10 drops 2 dec. dil. at 11 p.m., first day; 
morning and evening, second day, and evening, third day ; 5 c, same, one day 
after last proving took l.st dec. dil. for three days ; 5 cf, same a month later 
took tincture, 10 drops morning and evening, first day; half a drachm, 
third day, and morning and evening, fourth day ; 1 drachm, morning and 
evening, fifth day; 5e, same, took a dose of a drachm of tincture; 6, Mrs. 
W. took 1 drop 3d dec. dil. ; 6 a, same, one hour after the appearance of 
menses took same dose; 7, Mr.' P. took 10 drops of the tincture; 8, W. 
C. P., aged twenty, took a drop of 3d dec. dil., night and morning, for four 
days ; 8 a, same, took a dose of 10 drops of tincture ; 9, Mr. H. E., aged 
twenty-five, took a drop of 1st dec. dil. at 10 and 11 p.m., 2d day ; same 
at 8 A.M., third day; same, morning and evening, fourth and fifth days; 
at night, sixth, seventh, and eighth days ; 9 a, same, later took 2 dec. dil., 
evening, first day; morning, second day; 10, Miss C, aged forty (just re- 
covered from a bad cold, commenced again to cough after one or two doses, 
and waited two or three days, then resumed the proving), took 3d dec. dil., 
one dose, first day ; one, second day ; one, fifth and sixth days ; 11, Miss 
M. C, aged thirty, took 3d dec. dil., a dose, first and third nights; 12. Dr. 
G. Qj^hme, proving on his wife by 2 dil., a few doses; 12 a, Dr. W. Wessel- 
hceft took 3d dec. dil., first, second, third, seventh, and eighth daj's ; then 
30 drops of tincture, eleventh and twelfth days ; 100 drops, thirteenth 
day ; 13, Miss S. W., aged twenty, took 2 drops, morning and evening, for 
four days ; 14, Miss A. G., aged eighteen, took 2 drops of tincture, first 
day; after three days took 3 drops in water, in two doses; 15, Dr. A. 
Brown took 3d dil. in water, a sixth part, night and morning; 16, Mrs. 
M., aged thirty, took a drop of 3d dil. three evenings in succession ; 16 a, 
same, repeated four evenings. 

Mind. — Sad, gloomy state of mind, with frequent eructations of sour 
air (after fifteen hours) ; sad and gloomy (after thirteen hours, second day) ; 
with languor (fourth day),\— Depression of spirits (seventh day),".— Great 
depression of spirits, in the afternoon ; a kind of homesickness, with de- 



PULSATILLA NUTTALLIANA. 243 

spondency (fourth day),*". — Anxiety (second night),^'. — Felt very irritable, 
"cross;" could not bear to be spoken to; noise vexed her; felt like weep- 
ing at trifling annoyances (second day),\ — Irritability, wants to keep mov- 
ing about; quick, nervous Inotions,^ — Duluess of mind and disinclination 
to work (after three hours, fifth day),'''. 

Head. — After being out in the open air, on entering the house, a diz- 
ziness in the head (sixth day),^ — In the afternoon felt a sudden dizziness 
and fulness in the head, lasting only a few minutes (first day),". — [10.] 
Dulness and heaviness about the head (seventh day),'^ — Dull headache, 
slight, lasted half an hour (six hours after first dose, second day) ; dull 
headache in the morning, passed away after active exercise before breakfast 
(third day),\. — Some headache in the morning (fourth day),*\ — Severe 
headache all the afternoon (fourth day),*. — Dull, heavy feeling in the head, 
in the morning, less in the afternoon (fifth day),*. — Dull headache (fifth 
day),' ; (third and fourth days),". — Dull headache and nausea, till about 
11 o'clock (secoud day), ".^Slight headache (first night),'". — Dull head- 
ache and slight nausea nearly all day ; better about noon, but increased 
towards night (second day),'". — Headache and miserable feeling the first 
half of the day (third day),'". — [20.] Headache at intervals all day, ac- 
companied with habitual backache (fourth day),". — (Headache after hav- 
ing been actively occupied all night), (eleventh day),'^ — Slight headache 
(after eleven hours, eighth day),'. — Flying pains in the head and feet (sixth 
day),'. — Forehead. Dull frontal headache, with dull pain in epigastrium 
(first day) ; slight frontal headache all the morning (eighth day),". — At 
noon dull, oppressive frontal headache (which I have not had for months), 
(third day),*^ — Several times have had hard pains in the whole upper fore- 
head, that would pass to the back of the head, like a wave, afl^ectingthe whole 
brain (after nine hours),'. — Severe frontal headache, caused by a sour stom- 
ach, during the restlessnight (third night),'. — Severe, dull frontal headache 
(eighth day),'. — On waking in the night, dull frontal headache (secoud 
night),^\ — [30.] Dull headache all the afternoon, in the upper part of the 
forehead, with paralysis of the eyelids (first and second days),'^ — Slight, 
dull frontal headache, with the pricking sensation in the centre of the epi- 
gastrium, and feeling of distension in the abdomen (after two hours), with 
the severe, sharp, cutting pains in the epigastrium (after one hour, secoud 
day) ; slight, dull, frontal headache, all day (third day),'. — Slight head- 
ache in forehead (third and seventh da)'s),". — Slight headache in left frontal 
protuberance (after three hours, fifth day),"''. — During afternoon slight pain 
over right eye, better when walking in the open air, worse in warm room, 
with sense of heat, fulness in head, and dryness of eyes (third day),'''".— 
Temples. Dull pain in the right temple (fourth day),'. — (After taking 
the Pulsatilla, sharp, shooting pains through both temples, which were not 
very frequent before, were very frequent and more severe),^'. — Frequent 
sharp pains in the right temple and ear (fourth day),'*. — Sharp pains in the 
right temple (after one hour),'". — Occasional sharp pains in the right temple, 
with the drawing pains in the ears (third day),'^ — Vertex. [40.] Same dull 
feeling on top of head, but in a less degree (fourth day),'"". — *Dall pain on 
top of head, worse at noon ; a feeling as if her head were too heavy for her 
neck (seventh day),'"*. — Awoke in the morning with dull pain, extending 
over the top of head ; continued all day (second, third, and fourth days) ; 
less severe (fifth day),'". — Throbbing pain on top of head, very severe (after 
first and second doses) ; worse (after third dose),'*. — Parietals and 
Occiput. Arose in the morning with right side of head aching, and feel- 



244 PULSATILLA NUTTALLIANA. 

ing generally languid and sick (second day),". — Slight headache on the 
right side of the head ; afterwards it was a confused feeling rather than an 
ache (sixth day)/". — Full, hot feeling at cerebellum (about an hour after 
3 drachms),*. 

JEye. — Profuse secretion of the mucus of the eyes through the night 
(fifth night),^ — Slight secretion of mucus in the eyes (tenth day),\— Profuse 
secretion of mucus in the eyes, in the morning (second and third days),". — 
[50.] Dull pains deep in the eyes, with smarting of the eyes (after six hours, 
ninth day),'. — Eyes, which are usually very weak, feel stronger (seventh 
day),'. — A number of times have had a hard pain over the left eye, feeling 
as if a nail were being pressed into the forehead (after five hours, second 
day),'. — Occasional sharp pains in the eyes, with the drawing pains in 
the ears (third day),". — Dryness of eyes (third day),'". — Sensation of dry- 
ness and heat in the eyes and nose (third day),"'. — Smarting of the eyes, with 
profuse flow of tears (third day),'. — Smarting of the eyes (fifth and eighth 
days),'. — Smarting of the eyes, with the deep dull pains in the orbits (ninth 
day),'.— JBrow and Lid. Twitching of left eyebrow and upper lid, 
lasted for half an hour, after going to bed (ten minutes after second dose, 
fifth day),*"". — [60.] Constant twitching of the right eyelids, all the fore- 
noon, especially when reading, and at intervals, all day (third day) ; some 
twitching of right eyelids, at intervals, all day, more while reading (fourth 
day),^"". — Paralysis of the eyelids; almost impossible to keep the eyes open, 
with the dull headache (first day),". — The eyes, which are habitually sen- 
sitive, became worse ; redness of the edges of the lids, dryness and irrita- 
tion make it impossible to use them, especially in the evening,*'. — Ou 
waking in the night, found it impossible to open the eyes for nearly five 
minutes (sixth day),'. — About 8 p.m. my eyelids commenced smarting and 
itching, and on retiring the lids felt very hot to the eye (fifth day) ; in the 
morning the eyes were slightly sealed by a soft yellow matter; in an hour 
I noticed a thick white substance on the edge of the lower lid, next to the 
eyeball (sixth day),^ — Eyelids agglutinated (third and seventh days),'. — 
Slight agglutination of the eyelids, in the morning (eleventh day),'. — 
Smarting of the eyelids (after five hours, second day),' ; (first day),". — 
Slight smarting of edges of eyelids from the action of the air (fifth day),*''- 
— Burning sensation of the eyelids, with a slight headache (after three 
hours),'. — Lachryination. [70.] Profuse secretion of tears, with dull 
pains in the eyeball, extending to the malar bone (after one hour),". — 
Hall, Neuralgic pains in the eyeballs, while walking, more in the right, 
in the morning (second day),'*. 

Mar. — Hard, drawing pains along the right Eustachian tube, for half 
an hour (fifth day),'. — Frequent pains in the ears, of a drawing character, 
from the inside outwards, with the pains in the head and eyes (after 
three hours, second day),". — Frequent drawing pains in the ears all day, 
with occasional sharp pains in the right temple and eyes (third day),". — 
Frequent sharp pains in the right ear and temple (fourth day),". — Feeling 
in the left ear as if it were closed (first day) ; as if both were closed (sec- 
oud day),". — Frequent snapping noises in the ears (after five hours, second 
day),''. — For two hours after taking the medicine, had a constant fluttering 
noise in the right ear (third day),'. 

JVose.— Sensation of dryness and heat in nose and eyes, for an hour, 
after taking medicine (third day),'"'. 

jface,— [80,] Complexion at flrst rough, after taking medicine; became 
very clear after disappearance of the rash,"'. — After eating, flushed face, 



PULSATILLA NUTTALLIANA. 245 

pressure of blood in the face (after three hours, fifth day),"''. — Paiuful 
drawing in left cheek-bone and jaw (after second dose, fifth day),"''. 

Mouth. — Tongue. Arose with tongue coated white, and with flat, 
pappy taste in mouth (fourth day),". — ^Tongue covered with tough dime, 
red, rather dry, and swollen, showing the impressions of the teeth along 
the edges (sixth day),*''. — Yellowish coating along the centre of the tongue 
(third, fourth, ninth, and tenth days),'. — Tongue unusually red after eating 
(fifth day),"''. — General Mouth. Offensive breath in the morning, 
noticed by myself and others, continued all the following day (fourth 
day); offensive breath after eating (fifth day),"^. — Mouth and lips dry 
(sixth day),'". — Smarting of the velum palati, during the day (fifth day ),"''. 
—Saliva. [90.] Mouth filling with saliva (third night),".— Ta.s^e. Flat 
taste in the mouth. (third day),'. — Flat, bitter taste (fourth day),'. — Flat, 
rough taste in the mouth (ninth day),' ; (fourth day),'". — "'On awaking, dry, 
pappy taste in the mouth, as if the tongue luas thickly coated (which was not 
the case), (sixth day),"''. — ^Sweetish bitter taste, not unpleasant (third day),"''. 
— After sleeping in t^ie afternoon (in consequence of fatigue), awoke with 
vinegar-like acidity in the mouth, and dull pressing pain in the stomach,"'. 
^Bad taste in the mouth (first day),". 

Throat. — Frequent inclination to clear the throat (seventh day),'^ — 
After eating, slight irritation in throat, with expectoration of white, tough 
mucus, which is raised with ease throughout the forenoon (third day); 
slight irritation in throat, occasionally with trifling expectoration, raised 
without much effort (fourth day) ; irritation of throat, with slight expecto- 
ration (fifteenth day),'l — [100.] Throat is dry, smarts on waking, and con- 
tains much tough mucus, which is very hard to dislodge (sixth day),"''. — 
Slight sensation of scratching and huskiness (immediately, second day),'^ — 
Husky feeling in throat until noon, and at intervals throughout the after- 
noon (after one hour and a half ),"*. — Slight huskiness and dryness of throat 
for an hour, after taking medicine (third day),'^\ — At 6 p.m., a sensation 
as if there was a plug in the lower part of the throat, remaining until retir- 
ing (third day) ; in the morning it had disappeared ; but reappeared-, follow- 
ing a raw, tickling sensation in the throat (fourth day),'". 

Stomach. — Appetite. Increased appetite, while eating ; one hour 
after eating very hungry, and hungry all the evening, particularly at bed- 
time (after second dose),"\ — Increased appetite,^ — Great desire to eat, 
although directly after breakfast (soon),*. — Very great hunger before usual 
time; could scarcely eat enough to satisfy appetite (second day),"''. — In 
the evening, great hunger; not to be relieved by eating ; the hunger in- 
creased with eating (third day) ; no appetite for breakfast, food relished 
however (fourth day) ; good appetite for dinner, which I took about 1 
o'clock, away from home ; ate a sufficient quantity, without being satisfied. 
Hungry after eating ; arriving home in about an hour and a half, found 
dinner waiting, and ate again as much as if I had eaten nothing all day ; 
could have eaten more, felt hungry again after eating. Concluded not to 
eat supper ; but while driving in the evening felt very hungry ; had to go 
home, when I ate two slices of bread with a tumbler of milk. Desired to 
eat more but abstained; decided desire to eat, at 10 p.m. (fifth day),"°. — 
[110.] Felt renewed appetite after hearty breakfast ; hunger and empti- 
ness of stomach, an hour after breakfast, lasting till dinner (seventh day) ; 
great feeling of hunger and emptiness (eighth day),". — Indifferent appetite, 
with a feeling as if I were going to have fever ; anxious, miserable feeling 
(second day),'". — Very little appetite, in the morning (fifth day),'". — Indis- 



246 PULSATILLA NUTTALLIANA. 

position to eat (fourth day),". — But little appetite (fourth day),*.— No 
appetite for dinner (fifth day),'''; (first day),'\— Not the least appetite for 
breakfast, notwithstanding exercise in the open air (sixth day),^''. — *Loss 
of appetite, could not eat breakfast, do not want any dinner (fourth day),". 
— Thirst. For two days afterward, more thirst for cold water than usual ; 
the same feeling during the three following days, with four or five dis- 
char^es each day,**.— *if ore thirst than usual, in the morning (sixth day),'". 
— [120.] During the evening very frequent thirst, drank freely of cold 
water, which was extremely grateful (fifth day),*". — Uausual thirst for cold 
water, in the evening (fifth day),^. — lilruetations. Eructation with 
taste of medicine (third day),"^ — While riding, belching up of food, hot 
and tasteless, followed by frequent eructations of wind (second day),''. — 
Eructation of hot tasteless wind, several times, in the forenoon (second 
day),^". — Frequent eructations of sour air, with a sad, gloomy state of mind 
(after fifteen hours),'. — In two hours after eating, eructation with taste of 
food (after second dose),°".— Thick gulping (first dsiy),K— Heartburn. 
One hour after supper, slight heartburn and hot tasteless eructations, sev- 
eral times (fifth day),^\—]Vau,St'fl. During the afternoon, an intense 
nausea was felt after each dose, for half an hour, but she could not vomit 
(second day),'. — [130.] *Nausea, lasting about one minute, at two different 
times (second day),'". — Nausea and dull headache till about 11 o'clock; 
after that faintncss at the stomach ; uncomfortable sensation in the stomach 
all day, with nausea, like that after taking tartar emetic (second day),". — 
Nausea in the stomach, in the morning (fourth day),". — Slight nausea, all 
the forenoon (third day),"''. — Slight nausea, and dull headache, nearly all 
day (second day),'". — Inclination to nausea on entering the house, after 
being out in the open air (sixth day),l — StOtnac/l. (Before taking Pul- 
satilla, I had been troubled with wind in the stomach, feeling bloated ; 
had a good appetite, or rather wanted to eat, but could not eat much for 
this fulness in the stomach ; it has disappeared, and has has not returned 
up to the present time), (after two weeks),'^. — Fulness in epigastrium and 
abdomen, in consequence of eating too much ; relieved by loosening clothes, 
at 8 P.M. (fifth day),''". — Fulness of the stomach, like a great weight, with 
faintness all over, but particularly referable to the stomach (second day),". 
— Full and uncomfortable feeling in stomach, with chilliness (first night),". 
— [140.] Painful emptiness, gradually increased to pressure (after five 
minutes) ; pressure increased after breakfast (after one hour) ; same sensa- 
tion (second day) ; for five days subsequently at various times, painful 
pressure in the stomach,"*. — While riding, in the forenoon, emptiness and 
coldness in stomach, extending to abdomen, with sensation as if diarrhoea 
was about to set in ; also while sitting,*'. — Painful emptiness, pressure, and 
then rising in stomach towards oesophagus, like heartburn (after thirty 
minutes) ; same feeling as last night, repeated at intervals of an hour, 
throughout the day, gradually increasing in severit)', amounting to a cramp- 
like sensation, running up to the fauces from cardiac orifice of stomach 
(second day),*". — Great emptiness of stomach, in the afternoon (first day),'. 
— Feeling of emptiness in the stomach, after operation of bowels (after fif- 
teen minutes) ; same feeling after eating, which continued all the afternoon 
(first day),*\ — *Heavy sensation in stomach; faint at stomach (sixth day),'°. 
— * Weight and pressure in the stomach (third night),". — Slight heaviness of 
food after meals, with sour eructations (third day),". — Pressure from food 
after each meal, with cramplike rising, preceded by painful emptiness, for 
about two days (after one day),'*. — Painful pressure in stomach, while rid- 



PULSATILLA NUTTALLIANA. 247 

ing (half an hour after first dose, second day),*'. — [150.] Painful pressure 
in left portion of epigastric region, with frequent eructations, lasting about 
two hours (immediately after first dose) ; same painful pressure like heart- 
burn, in epigastrium (after first dose, second day) ; same for half an hour 
(after second dose, second day),*":. — In the afternoon, the painful pressure 
in the stomach extends all over the abdomen (second day),"'. — Slight gas- 
tric pressure several times during the day (third day),°°. — Feeling of weak- 
ness with the emptiness in the stomach, all the afternoon (first day),"'. — ■ 
Slight weakness in stomach ; an emptiness at periods throughout the day 
(first day),'^ — Distress in the whole epigastrium, with severe cutting pains 
passing through the stomach to the spine, lasting half an hour (after three 
hours),'. — Constant dull distress in the lower part of the epigastrium, all 
the afternoon and evening (fourth day),'. — Dull distress in the lower epi- 
gastrium and umbilicus (fifth day),'. — Constant distress in the lower por- 
tion of the epigastrium, all day (sixth day),'.— Frequent spell of distress 
in the lower part of the stomach (seventh day),'. — [160.] A number of 
spells of severe distress in the epigastrium, with dull pains in the right 
hypochondrium (eighth day),'. — Distress in the epigastrium (after six 
hours, ninth day),'. — Constant distress in the epigastrium, with frequent, 
hard, drawing pains in the left side, just below the stomach (first day),'". — 
Constant distress in the epigastrium, in the morning (second day),'". — 
Frequent spells of dull drawing pains in the epigastrium, and right hypo- 
chondrium (third day),'\ — Dull pains, by spells, in the hypogastrium 
(fourth day),'^ — After sleeping in the afternoon, awoke with dull pressing 
pain in stomach, and vinegar-like acidity in the mouth,*". — Dull pain in epi- 
gastrium, with dull frontal headache (first day),'. — Hard pains in the epi- 
gastrium with the mushy stool, at 6 a.m. (fifth day),'. — A number of times 
through the day had hard cutting pains in the lower part of the epigas- 
trium (fifth day),'. — [170.] Hard colicky pains after midnight in the epi- 
gastrium (fourth night),'. — Severe pain in the lower portion of the epigas- 
trium, at 7 A.M., followed by a mushy stool (sixth day),'. — The pain in the 
lower part of the epigastrium has been very severe, all the evening (first 
day),'*. — Pinching pain in greater curvature of stomach, repeated several 
times (after fifteen minutes),*'. — Pain in stomach, while eating (fifth day),*"*. 
— Painful feeling in epigastrium, while sitting (after four hours),*^ — Slight 
pains, by spells, in the epigastrium, in the morning (second day),'\ — Draw- 
ing cutting pains in the lower epigastrium, all the afternoon (third day),'. 
— Severe cutting pains in the lower part of the epigastrium and right 
hypochondrium (second day),'\ — Severe, sharp, cutting pains in the epigas- 
trium, with slight frontal headache (after one hour, second day),'. — [180.] 
Sharp pains in the stomach every few moments, for the last two hours 
(after six hours),'. — A number of times have had sharp pains in the stom- 
ach (after five hours, second day),'. — Uneasy sensation in stomach (ten 
minutes after first dose, third day),". — Gnawing empty sensation in stom- 
ach (second day),"*. — Feeling as if needles were being pressed through the 
stomach (after six hours),'. — Heat in the stomach, gradually increasing to 
pain ; most severe in one spot under the sternum (a few minutes after first 
dose, fifth day),**. — Severe burning in the .^-tomach (after one hour),'*. — 
For the last half hour have had a pricking burning sensation in the centre 
of the epigastrium, with a feeling of distension in the abdomen, accom- 
panied by a slight dull frontal headache (after two hours),'. 

Abdomen. — Hypochondria. *Dull pains in the right hypo- 
chondrium, lasting ten minutes at a time (third day),'. — *Dull pains in the 



248 PULSATILLA FUTTALLIANA. • 

right Jiypochondrium (eighth day),' — [190.1 A good deal of dull pain in 
the left hypochoudrium (ninth day),'. — Umbilicus. Distress in the 
umbilicus (after five hours, second day),'.— Severe pain in the umbilicus, 
at 6 A.M., with a desire for stool ; dark-colored stool, covered slightly with 
mucus, followed by the same pains, for half an hour (eighth day),'. — Sharp 
cutting pains in the umbilicus, followed by a natural stool, at 10 p.m. 
(third day),'\ — Slight pain in umbilical region (aften ten minutes),'^'. — 
General Abdomen. Rumbling in the bowels (first day),". — After 
dinner, rumbling of wind in distended abdomen, moving from epigastrium 
to hypogastrium,^. — Rumbling in abdomen, with colicky pain, much and 
frequent discharge of flatus,°°. — Slight distortion of abdomen, in the after- 
noon (fourth day),'''. — Constant dull pains in the whole abdomen (fourth 
day),'. — [200,] Aching pain in abdomen in one spot, increased by moving 
or changing position (after two hours, second day),*''. — Pain and slight 
looseness of the bowels, twice in the day ; feeling as if diarrhoea would 
come on ; pain in the bowels, with feeling like approaching diarrhoea, at 9 
P.M. (sixth day),'". — Slight colicky pains after eating a ripe pear, in the 
afternoon (second day),'". — Pain in bowels after eating, at 10 p.m. (third 
day) ; pain in bowels and diarrhoea (fifth day),". — Aching pain in left 
groin, quite severe just above the crest of the left ilium, on moving or 
bending (fifth day),'''. — Rheumatic pain above left crest of ilium, con- 
tinues on moving and bending the body (sixth day),'''. 

Rectum and AniiS. — All the evening and afternoon, have had a 
feeling as if I must go to stool immediately, with constant distress in the 
lower part of the epigastrium and umbilicus (eighth day),'. — Desire to go 
to stool, as if diarrhoea were coming; which, however, did not not take 
place,''. 

Stool. — While riding on horseback, had a sudden attack of diarrhoea, 
obliging him to dismount (immediately) ; in the afternoon had two more 
dark-colored, thin, paplike discharges, with urgent desire (first day),'. — 
Diarrhoea and pain in bowels (fifth day),". — [210.] Bowels operated on 
in about fifteen minutes, leaving them in a very loose condition, with a 
feeling of emptiness in the stomach ; during the day four watery discharges, 
of Jight-yellow color, without pain or wind ; during the three following 
days, four or five discharges each day, thin and yellow,*'. — Slight loose- 
ness of the bowels, with pain (sixth day) ; looseness of bowels (seventh 
day),'°. — Bowels slightly relaxed (sixth day) ; passages more frequent and 
moist (seventh day),l — A loose, papescent stool, attended with some grip- 
ing in the bowels and a good deal of chilliness ; four similar stools occurred 
during the day (after three hours, second day),'.— Mushy stool, with hard 
pains in the epigastrium, at 6 a.m. (fifth day),'. — Mushy stool, followed the 
severe pain in the lower portion of the epigastrium, at 7 a.m. (sixth day),'. 
— Dark-colored stool, covered slightly with mucus, at 6 a.m.; hard, dry, 
lumpy stool, at 10 p.m. (eighth day) ; dry, lumpy stool, at 6 a.m. ; natural 
one at 6 p.m. (tenth day),'. — Small hard stool, at 9 a.m. (second day) ; 
small dry stools each morning (fourth and fifth days) ; rather large, dry, 
lumpy stool at usual time in the morning (sixth day) ; very hard, dry, 
lumpy stool eight hours later than usual (seventh day),'. — Hard, lumpy 
stool (second day),'. — No desire to go to stool, but a large evacuation of 
dry pieces on going at the usual time (second day),'». — [220.] An iusuf-' 
ficieut hard evacuation, at 9 p.m. (second day),'". — No stool iu the morn- 
ing as usual ; hard insufficient stool in the evening (fourth day) ; no stool 
(filth day),'''.— A natural stool, the first since I commenced the proving, 



PULSATILLA NUTTALLIANA. 249 

after the sliarp, cutting pains in the umbilicus, at 10 p.m. (third day) ; 
natural stool at 9 p.Mj (fourth day) ; natural stool at 8 a.m. (fifth day),'*. — 
*Bowels constipated (fourth day),*. 

Urinary Organs. — Urethra, Pain in end of urethra on urinat- 
ing, at 12 P.M. (third day),". — After retaining urine for several hours, 
marked pain on urinating ; increasing pain during evening and until going 
to sleep (fourth day),". — Micturition and Urine. Nearly all day 
had frequent inclination to urinate, soon passing off without urination, but 
recurring frequently ; actual urination was too frequent, however, about 
every three hours, an unusual thing, as she habitually urinated only three 
times daily ; the urine had a natural appearance, but was rather above the 
usual quantity (second day),'. — During afternoon, frequent, desire to mic- 
turate, urine clear (second day) ; frequent and urgent desire to micturate, 
although no great quantity of urine passes (third day) ; frequent inclina- 
tion to pass water towards evening ; during evening, increased desire to 
micturate (fourth day) ; frequent desire to urinate (fifth day) ; frequent 
inclination to micturate (seventh day) ; (towards evening, after drinking 
ale, had great desire to pass water), (eighth day) ; strong desire to urinate 
(fifteenth day),". — (Two successive days unusual desire to pass water, 
about 12 o'clock each day), (third day),*°. — In the afternoon and night, a 
frequent desire to urinate (third day),". — [230.] Very frequent urination ; 
four times while walking, in the evening (second day) ; passed water more 
frequently than usual for five days,'. — Had to rise in the night on account 
of urgent desire to urinate (first day) ; copious discharge of urine, light- 
colored (second day),®*. — Have to get up to urinate in the night (second 
night),"". — Urinary organs normal for several days ; specific gravity of 
urine, at 7 a.m., 1.018-20 ; at 10 p.m., 1.026-30. Amount voided daily, 
30 to 36 ounces. At 2 a.m., woke with great urging to urinate (this was 
something unusual) ; voided 10 ounces of very light-colored urine ; specific 
gravity 1.010 (after four hours) ; at 8 a.m., great urging to urinate ; voided 
only 7 ounces, this was darker in color, but still not normal ; specific 
gravity 1.014 (after ten hours) ; some pain, or rather uneasiness, in the 
kidneys and bladder, 3.5 ounces of urine voided during the twenty-four 
hours; specific gravity of the last 1.030 (second day). At 7 a.m., great 
urging to urinate ; voided 7 ounces of dark, yellow urine ; specific gravity 
1.027 ; with every evacuation of urine, some tenesmus and strangury ; the 
uneasiness of the kidneys has been more marked to-day ; specific gravity 
1.031 ; voided, in the last twenty-four hours, 25 ounces of urine (third 
day). At 7 a.m., specific gravity 1.025 ; 10 p.m., tenesmus has been more 
marked, extending up the ureters, increasing the uneasiness of the kidneys; 
the amount of urine passed to-day was 23 ounces; specific gravity 1.080 
(fourth day). At 7 a.m., urine quite light in color ; specific gravity 1.014. 
10 P.M., urine has been copious to-day ; have but little of the tenesmus (fifth 
day). At 7 A.M., specific gravity of urine 1.016, copious, light-colored ; feel 
about all right ; just a little uneasiness at the kidneys (sixth day). The urine 
was at first (second day) of a light straw-color; after standing some time 
(forty-eight hours), it began to smell putrid, owing to the destruction of 
the large amount of albumen in it, epithelium, serum, etc. While under 
the influence of the additional 3 drachms, my urine was of a dark-yellow 
color; the uriniferous odor was not so strong as in normal urine; after 
standing some time it would deposit a light cloudy precipitate. The urine 
of the fifth and sixth days returned to the light straw-color, with but little 
smell, and soon threw down a light-colored, fleecy sediment. A careful 



250 PULSATILLA NUTTALLIANA. 

analysis of the light-colored urine revealed the presence of albumen and 
the phosphates in excess ; urine feebly acid ; the dark-colored urine re- 
vealed an excess of uric acid and the phosphates ; urine strongly acid. 
The light-colored urine voided on the second day, in the field of the micro- 
scope, six hundred diameters, revealed quite a number of epithelia, and 
after standing, a large amount of phosphates, earthy and triple ; in the 
dark-colored urine was seen many crystals of uric acid, and especially of 
the phosphates. The light-colored urine, voided on the fifth and sixth 
days, showed a large amount of epithelia, renal casts of the tubuli uriniferi 
and mucus corpuscles,*. — Copious discharge of pale, yellow urine, three 
times in the night (first night) ; passed water more frequently and more 
copiously through the next .day (second day),^'. — Passed large quantity of 
urine, at 12 p.m. (third day),'l — Urine clear (second day) ; urine has dark 
sediment, and bottom of vessel is thickly coated with light-brown urates of 
ammonia (third night) ; at 5 p.m., urine has a slight ammoniacal odor; at 
12 P.M., smells very strong, resembling smell of skunk. The odor is so 
strong that it fills the whole room (third dav) ; slight ammoniacal smell 
(fourth day),'l 

Sexual Organs. — Ulnle. Distressing erection, soon subsiding, at 
4 A.M. (eighth day),'^ — On passing water, irritation in end of penis (fourth 
day),". — Slight pressing-drawing pain in right side of penis, at 6 p.m. 
(fourth day),'^ — [240.] Pain in penis on waking, quite severe; increased 
when passing water ; continues all day, and at 4 p.m. is pressing and draw- 
ing (fifth day) ; slight pain on passing water, decreases and disappears 
towards evening (sixth day) ; towards evening, slight pressing-drawing pain 
on right side of penis, with frequent inclination to micturate (seventh day); 
(towards evening, after drinking ale, and after retaining urine for several 
hours, slight return of ])ain in penis), (eighth day),'^ — Three times have 
had hard stitching pains in the left spermatic cord, lasting from five to ten 
minutes each time (ninth da'y),\ — Hard stitching pain in the left spermatic 
cord and testicle, at 11 a.m. (ninth day),'. — A number of times had stitch- 
ing-drawing pains along the left spermatic cord (ninth day),'. — Drawing 
pains in the testicles once (fifth day),''. — Dull distress in the testicles, with 
drawing pains along the left spermatic cord (eighth day),'. — Twice had 
dull pains in the testicles, more in the right one (ninth day),'. — Slight 
seminal emission (first c\a.y),^'.— Female, Stinging darting pains passing 
through the uterine region, from side to si(Je (after one hour, second day),'. 
— Fluor albus of a mild kind, but so profuse and combined with so great 
depression of spirits and weakness that she refused to make further trials ; 
although the medicine removed a pleuritic or pulmonary pain from which 
she was suffering at the time. Since that time she has occasionally taken 
it with good effects, for the same pain, which she has had frequently for 
years. The first, or at most the second dilution have always removed the 
pain very speedily (in one-quarter of an hour, and sooner),'^ — [250.] At 
4 P.M., had a flow of whites, about a teaspoonful, without pain (third day),"". 
— Leucorrhcea, slightly, in the evening (a symptom she never had before), 
(fourth day) ; still more of leucorrhcea (fifth day),'".— Feeling as if men- 
struation (which has been irregular of late) was" coming on (sixth day),'" 
— (Menses have been more regular since the proving), (after two months 
and a half),^*. — Catanienia one week too soon; this never occurred before, 
but the discharge formerly had been too dark, with considerable pain ; 
this time there was no pain, and the discharge was natural,'*. — The monthly 
discharge, which is always copious, at once became very profuse, amount- 



PULSATILLA NUTTALLIANA. 251 

ing to hfemorrhage, and continued with violence for three days,"'. — In the 
morning, on awakening, found menses had appeared for the first time since 
weaning her babe (two months), (eighth day ),'""- 

Respiratorii Orfjans. — Coughed a good deal every day, for two 
or three days (after taking one or two powders, morning and night),'". — 
*Coughed a good deal to-day ; constant inclination to cough (third day),'" 
— A small sore spot in the upper part of the windpipe; continues all day 
(fifth and sixth days) ; grew better during the day (seventh day),'"". 

Chest. — [260.] Sharp stabbing pains in the pectoralis major muscles 
for five minutes, followed by a burning distress where the pains were 
(eighth day),'. — During the evening, pain in left side, under the arm, nearer 
the back, severe, lasted till bedtime (after last dose),". — Aching pain 
(slight) in the chest all the forenoon (fifth day),*''. 

Heart and Jfnlse. — Audible pulsation of the heart for half au 
hour (after second dose, fifth day),**. — Pulse 80 (generally 60) for two 
hours (fifth day),*''. 

Week and JiacJe. — Stiff'uess in right side of neck, in the morning 
(fifth day),'". — Habitual backache, with headache at intervals (fourth 
day),". — Lameness of back and loins particularly (second night),*''. — After 
a long walk, felt a shooting pain across the lower part of back for about 
half an hour (after eight hours) ; pain then settled in the left side, where 
it remained during the evening (first day),". — Dull pains in the lumbar 
region (eighth day),'. — [270.] Pains in the lumbar region (ninth day),'. 
— Wake up frequently during the night with some lameness in lumbar 
region (third night),*"". — Awoke frequently with aching in the loins and 
hips, causing frequent change of position in bed, which seemed too hard, 
after 1 o'clock (second night),*". — Weakness in the loins, and a general 
feeling as if menses were coming on, which ought not to appear for five 
days (after one hour) ; sensation like approaching menstruation continues 
(second day),". 

JSxtremities, — Awake frequently with aching of the limbs, lameness 
of back and loins particularly (second night),*'. — Frequent flying pains in 
the hands, feet, and toes (eighth day),'. — StiflTness of the fingers, with dull 
pains in the ankles and toes (third day),'. — Slight drawing pains, by spells, 
in the fingers and toes (fourth day),'. 

Superior Extremities. — Ebeumatism in right shoulder (seventh 
day),'". — Lameness of the muscles of the right upper arm (after two days),"*. 
— [280.] The muscles of the arms ache, and are quite stiff (especially the 
flexors) ; passed off" in a short time after moving them (ninth day),'. — Fre- 
quent pains in the wrists and fingers, lasting but a moment (after six 
hours),'. — Drawing pains in the left metacarpal bones (fifth day),'. — 
Fingers stiff" (ninth day),'. — Sharp pains in the first joint of the right fore- 
finger (third day),'. — All the forenoon have had hard drawing pains from 
the first to the second joint of the right middle finger (second day),'. 

Inferior Extremities. — Ifip and Thigh. Sharp neuralgic 
pains, passing from the hip-joint down to the middle of the thigh, along 
the great ischiatic nerve (after nine hours),'. — Drawing pains in the sar- 
torius muscle (left), when walking (after three hours),'. — Knee. Pain in 
both knees, aching, worse in left (third day),'.- — For two hours, while in 
bed, had severe pain in the whole right knee, of a dull aching character 
(fourth day),'. — [290.] Sharp drawing pains along the outside of the left 
knee, half way down the leg (eighth day),'. — Some rheumatism in right 
knee (sixth day),'". — Leg. Great heaviness of legs, while walking (fifth 



252 PULSATILLA NUTTALLIANA. 

day),^''. — At noon, began to feel great weakness in the legs; could scarcely 
stand, and walking became difficult; it was. a "trembling weakness," she 
said, with a sensation of great weariness and heaviness; this continued till 
she went to bed (after five hours, second day),'. — Nervous pains in the legs, 
particularly the left one. Felt as if she could not sit still (fifth day),'^. — 
Slight soreness in left calf (after two days),'". — Soreness in calf of right 
leg; slight pain while walking ; very painful on going down stairs; the 
soreness is like that following cramp in leg (after third dose) ; the sore- 
ness continued about three days, and then the other symptoms disappeared 
at the same time,''*. — Ankle. Dull pains in the ankles (second day),'». — 
Dull pains in the right ankle-joint (third day),'. — Severe pain in left ankle, 
extending to the hip, continuing for some hours (fourth and fifth days),'. 
— [300.] Drawing pains in the right ankle (fourth day),'. — Flying pains 
in the ankles (ninth day),'. — Foot. Accompanying the desire to uriuate, 
in the afternoon and night, was a nervous sensation in the feet, a constant, 
irresistible desire to move the feet, almost impossible to control (third 
day) ; this continued through the next day, and was worse at night. The 
continued sensation iu the feet was felt on the fifth day,^ 

Generalities. — Great debility, with a feverish feeling, in the even- 
ing (first day),'\ — Great debility (second day),''. — Weakness on waking 
(third day),'. — Arose iu the morning feeling generally languid and sick, 
with right side of head aching (I am almost always very well in the morn- 
ing), (second day),'". — Feeling very languid, in the morning (second day),''- 
— Very tired from a hard day's work (after thirteen hours, second day),'. 
—Languid, with a gloomy state of the mind (fourth day),'. — [310.] Very 
languid aud feverish (eighth day),'. — Very languid, with great depression 
of spirits (tenth day),'. — Went to bed feeling much exhausted (first even- 
ing),*". — Little dulness iu the morning after good rest (fifth day),'". — Dis- 
inclination to move during the forenoon, with great fatigue after walking 
(eighth day),'''. — More miserable at night; feel as if I had taken cold (sixth 
day),'".— Always more miserable at bedtime,'". — Anxious miserable feeling 
(second day); same feeling, with headache, the first half of the day (third 
day),'". — Bruised feeling,'*. — On waking in the night, feeling of. general 
discomfort, like that preceding fever (second night),"". — [320.] Has not 
felt well since the third day (eighth day),'. — Although quite severe in its 
effects, they disappeared wholly after a night's sleep (second night),'. — 
Symptoms not so strongly marked (after thirteen hours, secotid day),''. — 
The effect lasted six days, gradually decreasing during that time,°°. 

Skill. — There is an eruption breaking out on my ankles, itching se- 
verely at night (eleventh day). The eruption has extended half way up 
to my knees, and several large blotches are on my back ; the eruption is as 
large as a three-cent piece, and from that down to a fine eruption ; the color 
is a dark-red ; it itches more or less all the time, but at night the itching is 
most intolerable; the eruption stands out from the skin very prominently, 
and is exceedingly hard ; the last two days it is commencing to pass away. 
This eruption may not be the efl'ects of the Pulsatilla, but I never had any- 
thing like it before, and I shall attribute it to the Pulsatilla until it is 
proven otherwise (twenty-second day),'. — Slight rash on back and shoulders, 
lasting about two days (after one dose),'. — Itching on right side of chest; 
small scattered pimples and red points; skin assumed a roselike redness on 
slight friction; itching was quite intense at times, chiefly on right breast, 
in the evening, while undressing, also in bed, aud occasionally in the day; 
it lasted five days (twenty-second day),"''. — *In four weeks itching blotches, 



PULSATILLA NUTTALLIANA. 253 

light-red and rashlike, on right breast, itching severely at night. In three 
days it spread all over the chest in little red dots or stipples, lasting a 
week; relieved by scratching; worse on being heated,"". — In eight weeks 
much itching on back and shoulders, small stipples, and general erythem- 
atous redness (never had the slightest skin eruption),"". — *Iied rash over 
the body, face, neck, back, chest, arms, legs, abdomen ; most on chest and 
abdomen; red blotches, and in some places red points running together 
making blotches (after sixteen days). Three days later, erythema still very 
severe. Small and large spots on face, with white skin between, resembling 
measles; spots grow red, and itch severely when body becomes warm. The 
eruption gradually changes into a kind of nettlerash ; nodular, white, hard 
elevations on red base; nodules of irregular form, round, elongated, and 
angular; turn white after scratching, like mosquito-bites; lasted ten days, 
and was relieved by Autim. crud. 200,"*". — [330.] * Great itching over all 
•parts of the body (after seven days) ; after another interval of eight days, 
incessant itching again in daytime, and mostly towards evening ; itching 
worse at night before bedtime; continued also in the night; rubbing with 
fleshbrush relieved it; most free from itching in the morning; riding in 
cold air increases the itching, which returned at longer intervals and in 
less degree all through the winter,''. — In the evening itching over all parts 
of the body,'. 

Sleep. — Sleepiness ; sleep not refreshing (fifth day),"''. — Very sleepy all 
the afternoon (eighth day),'. — Want to sleep all the time (tenth day),'. — 
Slept soundly till 1 o'clock ; had to arise to urinate (second night),"°. — 
Unusual wakefulness for an hour, at 4 a.m. (eighth day),"*. — Very wakeful 
for two hours (first night) ; some wakefulness (third night),". — Very wake- 
ful for a time (very unusual for me), with slight headache (first night),'". 
— Lay awake one night for several hours, waking up at intervals; restless, 
could not lie still; slept well on the following nights,". — [340.] Could not 
sleep on account of having eaten too much (bread, butter, and milk), (third 
day),"°. — Restless night, with severe frontal headache, caused by a sour 
stomach (third night),'. — Sleep somewhat disturbed ; slight seminal emis- 
sion (first day),"'. — Restlessness (second night),"''. — Sleep restless all night; 
many dreams (first night); confused dreams all night (second night),"". 

Ifever, — Chilliness, Chilliness, with full and uncomfortable feeling 
in stomach (first night),". — For one hour after taking the medicine was 
very chilly, with a constant inclination to yawn (eighth day J,'. — A good 
deal of chilliness for an hour, with a loose papesceut stool and some griping 
in the bowels (after three hours, second day),". — *In the evening felt very 
chilly, at times shaking as if with ague (^ninth day),^ — In the evening very 
cold feet, remaining until retiring (second day),'"'.— Heat. [360.] Heat 
(second night),"''. — After sleep, feverish heat of the body (sixth day),"*. — 
* Feeling feverish, with great debility, in the evening (first day),'". — Skin hot 
and flushed, at 2 a.m. (after four hours),^ — Cool blustering wind is very 
refreshing to the hot face (sixth day),"''. — Face became red and hot, lasting 
till bedtime (six hours after first dose),'*. — Face hot and flushed (eighth 
day),'. — Hot face and very cold' feet, so that she had to put them into the 
oven to get them warm again (four hours after last dose),'*. — Hands hot, 
feeling feverish, but the pulse is not afiected any (second day),'". — Hands 
hot and dry, with stiflTness of the fingers (first day),". — [360.] Hands hot 
and dry (fourth, eighth, and ninth days),'. — Hands dry and hot all day 
(fifth day),'". 

Conditions, — Ag'gravation. — {Morning), Mucus in eyes; ofiensive 



254 PYRETHRUM— QUASSIA. 

breath; stiffness in right side of neck; languid; on waking, weakness. — 
(Afternoon), Depression of spirits ; after eating a ripe pear, colicky pains. 
— ^Evening), Thirst; pain in left side; chilliness; cold feet; feverish. — 
{Night), Woke with pain in lumbar region ; nervous sensation in feet ; the 
symptoms; on waking, general discomfort; itching; 2 A.m., skin hot. — (12 
o'clock). Desire to pass wa,ter.— (After eating). Redness of tongue; offensive 
breath. — (Betiding), Pain in left groin. — (After dinner). Rumbling of wind. 
— (Entering house after being in open air). Dizziness; inclination to nausea. 
— '(Going down stairs). Soreness in calf of right leg. — (Heat), Itching 
blotches. — (After meals). Pressure from food. — (Motion), Pain in abdomen; 
pain in left groin. — (Beading), Twitching of eyelids. — (While riding), 
Eructations ; emptiness and coldness in stomach ; pressure in stomach ; in 
cold air, itcliing. — ( While sitting), Emptiness and coldness in stomach. — 
(On urinating), Pain in end of urethra ; irritation in end of penis. — ( Walk- 
ing), Pains in eyeballs; pain in sartorius muscle; heaviness of legs; sore- 
ness in calf of right leg. — ( Warm room). Pain over right eye. 

Amelioration. — ( Walking in open air). Pain over right eye. — (Rub- 
bing withfieshbrush). Itching. — (Scratching), Itching blotches. 



PYRETHRUM. 

Pyrethrum Parthenium, L. (Chrysanthemum Parthenium, Bernh.) 

Natural order, Corapositse. ^ 

Common names, Spanish Pellitory, Feverfew. 

Preparation, Tincture of the plant. 

Authority. Dr. H. Langley Browne, Practitioner, 1876, p. 86, a boy, 
aged three and one-half, took 50 minims of the tincture. 

Very excited, and talked incessantly for four hours (second day). — Ly- 
ing in a state of stupor; easily roused, but quickly relapsing (second day). 
— Soreness of the tongue (first night). — At 5, the next morning, diarrhoea 
commenced, accompanied with pain; at first diarrhoea was profuse and 
exhausting, with tenesmus; afterwards involuntary evacuations of mucus, 
slightly tinged with blood ; the irritation of the bowels subsided by the 
following morning. — Pulse 120 and feeble, becoming much more rapid at 
intervals (second day); continued rapid (between 120 and 130) until the 
fifth day, when it became normal. — Twitching of the muscles of the limbs, 
not of those of the face (second morning); at 12.30 violent convulsions 
came on, lasting for an hour, and leaving the child apparently moribund, 
but he gradually improved, and at 3 p.m. could be roused, took some wine, 
and went to sleep for some hours, having convulsive movements like those 
of tetauus (second day) ; the twitchings subsided by the morning of the 
third day. — Restlessness (first night). — Profuse perspiration (first night). 



QUASSIA. 

Quassia amara, L. 
Natural order, Simarubacese. 
Common name. Quassia. 
Preparation, Tincture of the wood. 

Authorities. 1, Dr. J. O. Muller, N. Z. f. Horn. Kl., 5, 1, 1859 (report 
of Sitzung des Vereins Hom. Aerzte. Oest.), took a single dose ; 2, Eidherr, 



QUASSIA. 255 

ibid., took four doses of 30th dec. dil.; 3, Lerabke, N. Z. f Horn. Kl., 6, p. 
17, took Extract, 1 grain first day, 3 grains second day, repeated, and 
afterwards 14 grains. 

Mind, — Awoke with great anxiety and solicitude, without cause, at 1 
A.M.; was unable to sleep; felt wide awake, with manifold thoughts in his 
brain ; on attempting to read, could only stare at- the book on account of 
anxious thoughts running through his mind ; about 3 o'clock he rose and 
dressed, and attempted to write, but was so absent-minded that he could 
not find words to express himself; the next day he was unable to perform 
any mental labor, not on account of disinclination to work, but from ab- 
sence of thought,^ — An anxious mood returned on going to sleep, but dis- 
appeared in the night (third day),^ 

Head, — (A peculiar sensation in the head, as if the senses would van- 
ish, followed by excessive weakness, great heat, copious hot perspiration, 
with great hunger, followed by coldness of the extremities, with a sensation 
of internal coldness ; the whole attack lasted about two hours ; when it 
was not possible to satisfy the hunger, the weakness increased, copious per- 
spiration broke out over the whole body, followed after a long time by 
gradual relief ),^.f — Constant dulness of the head (second day),^. — (Pain and 
heaviness in the forehead, with at times dulness of the head),'. — (Slight 
drawing in the left side of the head and face),'. 

Stomach, — Great inclination to qualmishness,'. — Drawing pain in the 
stomach, accompanied by a sensation as if the stomach were full of hot 
water,^ 

Abdomen, — Slight drawing pains in both hypochondria, with a sen- 
sation as if the abdomen were empty and retracted to the spinal column; 
pain somewhat aggravated by deep breathing ; these symptoms recurred 
three times during the day, lasted from twenty to thirty minutes, and were 
accompanied by a sensation as though he would have a stool (first day),''. 
— [10.] Very acute sticking in the hepatic region ; the acute pain lasted 
only the first day, but for several days the pain was dull, and only disap- 
peared after twelve days,'. — Abdomen hard and distended (second day),^ 
— Sticking pains in the abdomen, between the umbilicus and stomach, 
frequently recurring and lasting several days (soon),'. — A peculiar beating 
through the abdomen, extending into the extremities, with general nervous 
troubles (second day),'. 

Stool, — Stools at first hard, with great eflTort, afterwards pasty, once 
very thiu,^ 

tlfinarij Organs, — Secretion of urine increased, solid constituents 
diminished; sp. gr., in the morning, 1007 and 1009; during the day 1001 
and 1004,^ 

Respiratory Organs, — (Hoarseness, perhaps to be ascribed to a 
change in the iveather),'. 

Neck, — Slight drawing pains in the cervical muscles (after 3 grains),'. 

Inferior Eoctremities, — Drawing pain in the calves (half an hour 
after 1 grain),'. 

Generalities, — General discomfort (second day),^ 

Fever, — [20.] Sensation of coldness running over the back, with con- 
stant inclination to yawn and desire to stretch out the feet,''. 

t This symptom is only noted, and cannot be directly ascribed to the action of 
Quassia, as I had previously suft'ered from similar attacks. 



256 RANUNCULUS ACRI8. 



RANUNCULUS ACRIS. 

Ranunculus acris, Linn. 

Natural order, Ranunculacese. 

Preparation, Tincture of the whole plant. 

Authorities. 1, Krebs, Frank's Mag., 3, 312, Heidelb. Annals, 1835, a 
woman, seventy years old, applied a handful of the herb to her limbs; 2, 
Franz, Archiv. f. Horn., 7, 3, 218; 3, Lembke, N. Zeit. f. Horn. Klin., 12, 
26, took an infusion of the herb twice first and second days, three times 
third day ; 3 a, same, proving repeated, doses on first, second, fourth, and 
sixth days. 

Mind. — Anxiety,\ 

Head, — Headache,^ — Tearing in the forehead, in the face (third 
day),^ 

Face, — Red face,\ — Violent tearing in the right cheek, towards the 
temples, in the evening (first day),'". 

Throat. — A continuous scraping taste in the throat (shortly after first 
dose) ; this sensation lasted longer when larger doses were taken,'. 

Stomach. — Frequent eructations of tasteless flatus (after second dose, 
second day),''. — Some nausea (after seconddose, second day); nausea, with 
much saliva in the mouth (after third dose, second day) ; slight nausea 
(fourth day),'.. 

Stool. — 5 P.M., copious fluid stool without pain, and again at 7 p.m. 
(first day),''. — [10.] Two loose stools, in the morning (third day),'. 

Urinary Organs. — During the night frequent micturition (fourth 
night) ; this had not occurred during the previous nights, although no 
change had been made in my mode of living; no micturition (fifth night),'. 
— In the night micturated three times ; urine normal (second uight),". 

Chest. — Tearing in the muscles on the right side of the chest, below 
the nipple, increased during inspiration (after second dose, second day) ; 
similar pain in right side of chest (third day),''. 

I'ulse. — Small rapid pulse,'. 

Hack, — *Fain several times in the lumbar muscles, in bending and turn- 
ing the body, and in the joints already mentioned (fourth day) ; the same 
pains were felt in the morning, and several times during the day, whether 
in sitting or in motion (fifth day),'*. 

Extremities. — Soreness of the joints,^ — Boring and drawing pains 
in the right tibia and in the elbow (after second dose, second day),''. — 
Violent pressing pains in the joints of the elbow, ankle, and knee when 
sitting; motion appeared to relieve them (after third dose, second day),*". 
— Tearing in the wrist and ankle-joints, in the thumb, in walking and 
resting (first day),''. — [20.] Tearing in the joints of the wrist, ankle, and 
shoulder, in the forehead, and in the muscles of the right side of the chest 
(sixth day),'". — Tearing in the hip, shoulder, and ankle-joints (fourth day),''. 
— Wandering pains in the limbs, in the joints of the hands, knees, feet, and 
toes (second and third days),'. 

Inferior Extremities. — Several times, on walking, felt a heavi- 
ness and weakness in the legs (third day) ; also when in bed, in the morn- 
ing (fourth day),'. — Tearing in the front of the tibiae and in the temples 
(third day),''. — Drawing pains in the ankle-joints (after second dose, second' 
day),". — Tearing in the left ankle-joint (after first dose, second day),''. — 



RANUNCULUS BULBOSUS. 257 

Frequent tearing in the left ankle-joint in walking, and also when at rest 
(fourth day),'. 

Generalities. — Patient tremulous, with faintness, on rising, anxiety, 
restlessness, small rapid pulse and red face,'. — Awoke at night with the 
most violent pains,'. 

Skin. — [30.] Obstinate ulcers,^ — The skin of the right cheek has a 
peculiar feeling, as though it were here and there touched with a cold thin 
body; this lasted some time, and then a similar sensation was felt in the 
skin of the left cheek (after third dose, second day),"'. 

Fever. — Violent erethistic fever, with intolerable pains in the legs and 
feet, which were burned as far as the knee; the skin hot, red, very paiuful, 
and in places blistered (second day) ; the next day several spots became 
gaugrenous,'. — Intolerable heat and faintness,^ — Head hot and heavy 
(after second dose, second day),'". — Heat in the head (third day),'. — Skin 
somewhat moist, in the morning (third day),''. — Forehead damp (after 
second dose, second day),'*. 



RANUNCULUS BULBOSUS. 

Ranunculus bulbosus, L. 

Natural order, Ranunculacese. 

Common name, Bulbous Crowfoot. 

Preparation, Tincture of the whole plant. 

Authorities. (Nos. 1 to 6 from Franz, Archiv fur Horn., 7, part 3.) 1, 
Dr. Franz, took the first day 8 drops tincture, in water ; the second, third, 
and fifth days each 12 drops, in the morning; 2, a woman, aged twenty- 
nine, took 8 drops in water, one dose ; 3, " Sd.," a man took 5 drops ; 3 a, 
same, fourteen days later, took 15 drops; 36, same, nine days later, took 
20 drops; 3o, same, took within twelve hours 60 drops; 4, Stapf, symp- 
toms observed in a healthy woman ; 5, Ephem. Nat. Cur., Dec. Ill, ann. 
2, Obs. 87, effects of the roots of R. palustris (?) (bulbosus), cooked with 
chicken-broth; 6, Krapf, experimenta de nounuU, Ranunc. ven. qualitate, 
Viennae, 1766, effects of applying the flowers and leaves to warts. 

Mind, — Fearfulness in the evening, she does not want to remain alone, 
she is afraid she may be haunted by ghosts,'. — Vexed and inclining to be 
angry; quarrels and scolds when the slightest cause is offered (after two 
hours),'. — 111 humored, and disposed to quarrel and scold the first fore- 
noon ; in the evening he is desponding, apprehensive, sensitive, discontented ; 
on the second day he again inclines to be provoked by the innocent jests 
of his friends, etc.; this continues for several days, and recurs frequently 
during the action of Ranunc.,'. — Extremely ill-humored, nothing was able 
to cheer him up (second and third days),'=. — Fretful when with a patient, 
in the afternoon (first day),'. — (Dread of labor; he has to make a great 
effort to bring himself to note down the observations which he has gathered),'. 
— (The objects of his feelings, for instance, chagrin, occupy his mind long 
after the occurrence took place ; one sees that he is thinking of those things ; 
he talks to himself, gesticulates in his anger, in the forenoon), (second day),'. 
— Vanishinff of thought when reflecting ; he stares at one point for a long 
time (after one hour),'^ — Obtuseness of the senses, for weeks, as long as the 
herpes lasted ; nothing made a strong impression upon him ; even his pain- 
ful herpes did not affect him as vividly as it ought to have done, and he 
finds it difficult to furnish an exact description of it from beginning to end,'. 

TOL. YIII. — 17 



258 KANUNCULUS BULBOSUS. 

Head. — Vertigo. [10.] Vertigo, as if he would fall, upon leavi